Active NPIIndividual provider

Marcella R Canelo, REGISTERED DIETITIAN

Dietitian, Registered in Bend, Oregon

NPI Number1568019644
Practice location
2065 NE Tucson Way Apt 110, Bend, OR 97701-5182
Fax
541-383-1883
Last updated
October 24, 2024

Marcella R Canelo is a Dietitian, Registered based in Bend, OR. Marcella R Canelo practices in Bend, OR and has the professional credentials of REGISTERED DIETITIAN. The NPI Number for Marcella R Canelo is 1568019644 and holds a License No. LD-D-10200369 (OR). The current practice location address for Marcella R Canelo is 2065 NE Tucson Way Apt 110, Bend, OR 97701-5182 and can be reached out via phone at 541-383-3005 and via fax at 541-383-1883.

Provider Profile Details

NPI Number
1568019644
Provider Name
Marcella R Canelo
Credential
REGISTERED DIETITIAN
Provider Entity Type
Individual
Gender
Female
Address
2065 NE Tucson Way Apt 110, Bend, OR 97701-5182
Phone Number
541-383-3005
Fax Number
541-383-1883
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
August 22, 2019
Last Update Date
October 24, 2024
Certification Date
October 24, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
2065 NE Tucson Way Apt 110
Bend, OR 97701-5182
City
Bend
State
Oregon
Zip
97701-5182
Phone Number
541-383-3005
Fax Number
541-383-1883
Bend, OR 97701Get directions →

Provider Business Mailing Address Details

Address
Po Box 4228
Portland, OR 97208-4228
City
Portland
State
OR
Zip
97208-4228
Phone Number
541-383-3005
Fax Number
541-383-1883

License Information

License Number
LD-D-10200369
License State
OR
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Marcella R Canelo, REGISTERED DIETITIAN?

The NPI number of Marcella R Canelo, REGISTERED DIETITIAN is 1568019644. It was assigned on August 22, 2019 and is currently active in the NPPES registry.

What is the specialty of Marcella R Canelo, REGISTERED DIETITIAN?

Marcella R Canelo, REGISTERED DIETITIAN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in OR under license number LD-D-10200369.

Where does Marcella R Canelo, REGISTERED DIETITIAN practice?

The practice location is 2065 NE Tucson Way Apt 110, Bend, OR 97701-5182. The office can be reached at 541-383-3005 (phone) or 541-383-1883 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1568019644 directly on the NPPES registry website.

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