IndividualActive
Alicia Evans, RD, LD, CSR
NPI 1790592962 · Registered Dietitian · Lebanon, OR
Provider details
- NPI number
- 1790592962
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD, LD, CSR
- Sex
- Female
- Sole proprietor
- No
- License
- LD-D-10194677 (OR)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
Practice location
665 N 5th St
Lebanon, OR 97355-2875
Phone: (541) 258-3012
Fax: (541) 258-3331
Approximate (ZIP-level) locationGet directions
Mailing address
3200 Se Midvale Dr Apt K302
Corvallis, OR 97333-3168
Additional practice locations (1)
- 2820 Kingwood StFlorence, OR 97439-9555Phone: (541) 997-1136
Registry dates
- Enumerated
- 2024-12-11
- Last updated
- 2024-12-11
- Certified
- 2024-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.