Provider Demographics
NPI:1821840869
Name:BRIEL-SMITH, CHRISTINE (REGISTERED DIETITIAN)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:BRIEL-SMITH
Suffix:
Gender:F
Credentials:REGISTERED DIETITIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1633 KENTUCKY CT
Mailing Address - Street 2:
Mailing Address - City:CENTRAL POINT
Mailing Address - State:OR
Mailing Address - Zip Code:97502-3644
Mailing Address - Country:US
Mailing Address - Phone:541-973-0358
Mailing Address - Fax:
Practice Address - Street 1:1633 KENTUCKY CT
Practice Address - Street 2:
Practice Address - City:CENTRAL POINT
Practice Address - State:OR
Practice Address - Zip Code:97502-3644
Practice Address - Country:US
Practice Address - Phone:541-973-0358
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered