Provider Demographics
NPI:1376886143
Name:ADEE, JANET SIGI (RD)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:SIGI
Last Name:ADEE
Suffix:
Gender:F
Credentials:RD
Other - Prefix:MS
Other - First Name:SIGI
Other - Middle Name:
Other - Last Name:ADEE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RD
Mailing Address - Street 1:1110 SPYGLASS DR
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-2056
Mailing Address - Country:US
Mailing Address - Phone:541-686-2378
Mailing Address - Fax:
Practice Address - Street 1:3355 RIVERBEND DR
Practice Address - Street 2:200
Practice Address - City:SPRINGFIELD
Practice Address - State:OR
Practice Address - Zip Code:97477-8800
Practice Address - Country:US
Practice Address - Phone:541-485-6478
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-31
Last Update Date:2013-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL844912133V00000X
ORLD-D3000570133VN1005X
IL20310465133VN1006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Renal
No133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Metabolic