Provider Demographics
NPI:1013795327
Name:SCHACHTER, ILANA (RD)
Entity Type:Individual
Prefix:
First Name:ILANA
Middle Name:
Last Name:SCHACHTER
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 1:4725 SE DIVISION ST APT 216
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97206-1568
Mailing Address - Country:US
Mailing Address - Phone:134-749-1838
Mailing Address - Fax:
Practice Address - Street 1:4725 SE DIVISION ST APT 216
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97206-1568
Practice Address - Country:US
Practice Address - Phone:134-749-1838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered