Individual provider · Type 1 NPI

Angie Marie Frederic, RD, LD, CDE

Registered Dietitian · Lebanon, OR

NPI number 1629155080 Active

Practice location

525 N Santiam Hwy
Lebanon, OR 97355-4363

Call (541) 451-7197 Map

Fax (541) 451-6304

Mailing address

213 Violet St
Lebanon, OR 97355-1570

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X593 (OR)

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 1629155080

Angie Marie Frederic, RD, LD, CDE's National Provider Identifier is 1629155080, issued on Nov 1, 2006. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Lebanon, OR. The record was last updated on Jul 9, 2007.