IndividualActive
Brian Hakes, DIETICIAN
NPI 1104944057 · Registered Dietitian · Lebanon, OR
Provider details
- NPI number
- 1104944057
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- DIETICIAN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 10158338 (OR)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
32675 Merrill Ln
Lebanon, OR 97355-8817
Phone: (541) 409-6375
Approximate (ZIP-level) locationGet directions
Mailing address
32675 Merrill Ln
Lebanon, OR 97355-8817
Registry dates
- Enumerated
- 2007-03-27
- Last updated
- 2014-12-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.