Provider Demographics
NPI:1851086987
Name:TORRES COLLINS, JENNIFER (RD, CLE)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:TORRES COLLINS
Suffix:
Gender:F
Credentials:RD, CLE
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:
Other - Last Name:TORRES LOPEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD, CLE
Mailing Address - Street 1:2850 SW CEDAR HILLS BLVD STE 141
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97005-1354
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:18665 SW STUBBLEFIELD WAY APT 244
Practice Address - Street 2:
Practice Address - City:ALOHA
Practice Address - State:OR
Practice Address - Zip Code:97003-3537
Practice Address - Country:US
Practice Address - Phone:626-234-7529
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-05
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORLD-D-10229835133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered