Individual provider · Type 1 NPI

Connie Jo Mickelson, RD, LD

Registered Dietitian · Salem, OR

NPI number 1154956548 Active

Practice location

2600 Center St NE
Salem, OR 97301-2669

Call (503) 945-2800 Map

Mailing address

2300 Independence Hwy
Independence, OR 97351-9438

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XNone listed

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1154956548

Connie Jo Mickelson, RD, LD's National Provider Identifier is 1154956548, issued on Mar 6, 2020. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Salem, OR. The record was last updated on Mar 6, 2020.