Provider Demographics
NPI:1538427950
Name:KILLIAN, FRANCIE EDITH (MS, CISSN)
Entity type:Individual
Prefix:MS
First Name:FRANCIE
Middle Name:EDITH
Last Name:KILLIAN
Suffix:
Gender:F
Credentials:MS, CISSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2677 WILLAKENZIE RD
Mailing Address - Street 2:STE. 7-G
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-4873
Mailing Address - Country:US
Mailing Address - Phone:541-653-9620
Mailing Address - Fax:541-685-9005
Practice Address - Street 1:2677 WILLAKENZIE RD
Practice Address - Street 2:STE. 7-G
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-4873
Practice Address - Country:US
Practice Address - Phone:541-653-9620
Practice Address - Fax:541-685-9005
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-24
Last Update Date:2012-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR133NN1002X
ORMASTERS DEGREE133NN1002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education