Provider Demographics
NPI:1609483064
Name:HUTCHINSON, ALAYNA LOUISE (RD)
Entity Type:Individual
Prefix:
First Name:ALAYNA
Middle Name:LOUISE
Last Name:HUTCHINSON
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 531
Mailing Address - Street 2:
Mailing Address - City:CHILMARK
Mailing Address - State:MA
Mailing Address - Zip Code:02535-0531
Mailing Address - Country:US
Mailing Address - Phone:508-939-0291
Mailing Address - Fax:
Practice Address - Street 1:5258 NE CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97211-2614
Practice Address - Country:US
Practice Address - Phone:508-939-0291
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-29
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered