IndividualActive
Angela Smith, RD, LD, CDM
NPI 1215085972 · Registered Dietitian · Lebanon, OR
Provider details
- NPI number
- 1215085972
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD, LD, CDM
- Sex
- Female
- Sole proprietor
- No
- License
- 743 (OR)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
525 N Santiam Hwy
Lebanon, OR 97355-4363
Phone: (541) 258-2101
Fax: (541) 451-7862
Approximate (ZIP-level) locationGet directions
Mailing address
600 N 8th St
Aumsville, OR 97325-8959
Registry dates
- Enumerated
- 2007-01-08
- Last updated
- 2012-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.