Provider Demographics
NPI:1386245256
Name:LINFESTY, ALOURA (RD)
Entity type:Individual
Prefix:
First Name:ALOURA
Middle Name:
Last Name:LINFESTY
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12944 SW SARA DR
Mailing Address - Street 2:
Mailing Address - City:GASTON
Mailing Address - State:OR
Mailing Address - Zip Code:97119-8580
Mailing Address - Country:US
Mailing Address - Phone:503-953-4994
Mailing Address - Fax:
Practice Address - Street 1:12944 SW SARA DR
Practice Address - Street 2:
Practice Address - City:GASTON
Practice Address - State:OR
Practice Address - Zip Code:97119-8580
Practice Address - Country:US
Practice Address - Phone:503-953-4994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-05
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR86098002133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty