MICCA HENRY, RDN

Dietitian, Registered

Active Individual
NPI: 1649047952

Practice Address

8495 CRATER LAKE HWY
MAIL STOP: 120
White City, OR 97503

Phone: (541) 826-2111

Specialties

Specialty Code Primary License
Dietitian, Registered 133V00000X Yes -

Frequently Asked Questions

NPI 1649047952 is the National Provider Identifier for MICCA HENRY, RDN, a Dietitian, Registered provider located in White City, OR. This NPI was enumerated on December 6, 2023.
MICCA HENRY, RDN practices at 8495 CRATER LAKE HWY, MAIL STOP: 120, White City, OR 97503.

Quick Facts

NPI
1649047952
Type
Individual
Enumerated
Dec 6, 2023
Last Updated
Dec 6, 2023

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