Provider Demographics
NPI:1730974106
Name:NOURISHED COLLECTIVE
Entity type:Organization
Organization Name:NOURISHED COLLECTIVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHJOLIN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, RD, LD
Authorized Official - Phone:248-259-9387
Mailing Address - Street 1:72A CENTENNIAL LOOP STE 180
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-2454
Mailing Address - Country:US
Mailing Address - Phone:248-259-9387
Mailing Address - Fax:844-929-0607
Practice Address - Street 1:72A CENTENNIAL LOOP STE 180
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-2454
Practice Address - Country:US
Practice Address - Phone:248-259-9387
Practice Address - Fax:844-929-0607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-14
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty