Provider Demographics
NPI:1598364689
Name:LINARES, ZEDNIA CAROLINA (MS, RDN, LD)
Entity Type:Individual
Prefix:
First Name:ZEDNIA
Middle Name:CAROLINA
Last Name:LINARES
Suffix:
Gender:F
Credentials:MS, RDN, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2455 NE JUNIPER AVE
Mailing Address - Street 2:
Mailing Address - City:GRESHAM
Mailing Address - State:OR
Mailing Address - Zip Code:97030-2928
Mailing Address - Country:US
Mailing Address - Phone:503-756-4191
Mailing Address - Fax:
Practice Address - Street 1:2455 NE JUNIPER AVE
Practice Address - Street 2:
Practice Address - City:GRESHAM
Practice Address - State:OR
Practice Address - Zip Code:97030-2928
Practice Address - Country:US
Practice Address - Phone:503-756-4191
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-20
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR10210635133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered