Provider Demographics
NPI:1013502749
Name:OAKLEY, DAWN (MPH, RD)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:OAKLEY
Suffix:
Gender:F
Credentials:MPH, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:636 LEEANNE AVE
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95993-9330
Mailing Address - Country:US
Mailing Address - Phone:530-277-3509
Mailing Address - Fax:
Practice Address - Street 1:415 ALTURAS ST STE 6
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-4144
Practice Address - Country:US
Practice Address - Phone:530-277-3509
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-04
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered