Provider Demographics
NPI:1164583498
Name:MEIER, CYNTHIA RIES (RD LD)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:RIES
Last Name:MEIER
Suffix:
Gender:F
Credentials:RD LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1572 HAPPY LN
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-1800
Mailing Address - Country:US
Mailing Address - Phone:541-954-1713
Mailing Address - Fax:541-485-0779
Practice Address - Street 1:1572 HAPPY LN
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-1800
Practice Address - Country:US
Practice Address - Phone:541-954-1713
Practice Address - Fax:541-485-0779
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR437133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR117365Medicare ID - Type UnspecifiedGROUP PROVIDER NUMBER
OR116232Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER