Provider Demographics
NPI:1891261772
Name:JONES, LINDSEY M (RD)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:M
Last Name:JONES
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 1:325 N VERNONIA RD
Mailing Address - Street 2:
Mailing Address - City:SAINT HELENS
Mailing Address - State:OR
Mailing Address - Zip Code:97051-2718
Mailing Address - Country:US
Mailing Address - Phone:541-621-9110
Mailing Address - Fax:
Practice Address - Street 1:33555 E COLUMBIA AVE STE 111
Practice Address - Street 2:
Practice Address - City:SCAPPOOSE
Practice Address - State:OR
Practice Address - Zip Code:97056-3437
Practice Address - Country:US
Practice Address - Phone:541-621-9110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-18
Last Update Date:2018-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORLD-D-000774133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered