| Jesse Ray Hall, MS, RDN, CD | |
|
5940 Ulali Dr Ne, Keizer, OR 97303-1500 | |
| (503) 304-5738 | |
| (503) 304-5725 |
| Full Name | Jesse Ray Hall |
|---|---|
| Gender | Male |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 11 Years |
| Location | 5940 Ulali Dr Ne, Keizer, Oregon |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588068522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DI60506429 (Washington) | Secondary |
| 133V00000X | Dietitian, Registered | 10179690 (Oregon) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kaiser Foundation Health Plan Of The Northwest | 5799688230 | 1498 |
| Provider Name | Kaiser Foundation Health Plan Of The Northwest |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
| Provider Name | Erhardt Physical Therapy And Sports Medicine Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1326110313 PECOS PAC ID: 1153214739 Enrollment ID: O20040206000241 |
| Mailing Address | Practice Location Address |
|---|---|
| Jesse Ray Hall, MS, RDN, CD 5940 Ulali Dr Ne, Keizer, OR 97303-1500 Ph: (503) 304-5738 | Jesse Ray Hall, MS, RDN, CD 5940 Ulali Dr Ne, Keizer, OR 97303-1500 Ph: (503) 304-5738 |
Ashleigh Starr, MS RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3675 River Rd N Ste 103, Keizer, OR 97303 Phone: 224-623-3330 | |
Damzil Nutrition Counseling, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3795 River Rd N Ste D, Keizer, OR 97303 Phone: 503-457-4923 Fax: 503-376-6714 | |
Mrs. Lizette Marie Dubay Courtney, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3795 River Rd N Ste D, Keizer, OR 97303 Phone: 503-457-4923 Fax: 503-376-6714 | |
Dietitian Support Services Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3675 River Rd N Ste 103, Keizer, OR 97303 Phone: 224-623-3330 | |
Katherine Olson, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5685 Inland Shores Way N, Keizer, OR 97303 Phone: 503-873-1619 |