IndividualActive
Joseph Tibay, RD
NPI 1326310335 · Registered Dietitian · Chiloquin, OR
Provider details
- NPI number
- 1326310335
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD
- Sex
- Male
- Sole proprietor
- No
- License
- 966795 (OR)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
Practice location
330 Chiloquin Blvd
Chiloquin, OR 97624-6747
Phone: (541) 882-1487
Fax: (541) 783-3237
Approximate (ZIP-level) locationGet directions
Mailing address
3949 South 6th Street
Klamath Falls, OR 97603
Registry dates
- Enumerated
- 2012-02-07
- Last updated
- 2022-12-12
- Certified
- 2022-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.