Provider Demographics
NPI:1336531144
Name:OJA, DORIE (RD)
Entity Type:Individual
Prefix:
First Name:DORIE
Middle Name:
Last Name:OJA
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 1:100 FALLWOOD ROAD
Mailing Address - Street 2:REDWOOD AREA HOSPITAL
Mailing Address - City:REDWOOD FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56283
Mailing Address - Country:US
Mailing Address - Phone:507-637-4600
Mailing Address - Fax:507-697-6000
Practice Address - Street 1:100 FALLWOOD ROAD
Practice Address - Street 2:REDWOOD AREA HOSPITAL
Practice Address - City:REDWOOD FALLS
Practice Address - State:MN
Practice Address - Zip Code:56283
Practice Address - Country:US
Practice Address - Phone:507-637-4600
Practice Address - Fax:507-697-6000
Is Sole Proprietor?:No
Enumeration Date:2015-03-03
Last Update Date:2015-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2256133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered