Provider Demographics
NPI:1376892075
Name:SAFFOLD, HANNAH (RDN, LD)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:SAFFOLD
Suffix:
Gender:F
Credentials:RDN, LD
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:
Other - Last Name:MOONEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:840 MARTIN ST
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-4661
Mailing Address - Country:US
Mailing Address - Phone:458-239-9899
Mailing Address - Fax:
Practice Address - Street 1:840 MARTIN ST
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97405-4661
Practice Address - Country:US
Practice Address - Phone:458-239-9899
Practice Address - Fax:415-353-8703
Is Sole Proprietor?:No
Enumeration Date:2012-09-10
Last Update Date:2022-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA961831133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered