Provider Demographics
NPI:1972939239
Name:HAND, TARYN MICHELLE (MS, RD, CSSD, LD)
Entity Type:Individual
Prefix:
First Name:TARYN
Middle Name:MICHELLE
Last Name:HAND
Suffix:
Gender:F
Credentials:MS, RD, CSSD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1055 CLINTON DR
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-7818
Mailing Address - Country:US
Mailing Address - Phone:585-802-8864
Mailing Address - Fax:833-814-5516
Practice Address - Street 1:1055 CLINTON DR
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-7818
Practice Address - Country:US
Practice Address - Phone:541-525-0162
Practice Address - Fax:833-814-5516
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-18
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADI61140516133V00000X
ORLD-D-10148405133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered