OrganizationActive
Advanced Nutrition LLC
NPI 1063309359 · Registered Dietitian · Medford, OR
Provider details
- NPI number
- 1063309359
- Entity type
- Organization
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Carrie Lambourne, Owner/Registered Dietitian(775) 870-2251
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
843 E Main St Ste 303
Medford, OR 97504-7137
Phone: (458) 299-6858
Fax: (541) 972-8826
Approximate (ZIP-level) locationGet directions
Mailing address
16 Geneva St
Medford, OR 97504-7110
Registry dates
- Enumerated
- 2025-06-20
- Last updated
- 2025-12-04
- Certified
- 2025-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.