Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Providence Health & Services Mt

Organization Metabolic Nutrition Registered Dietitian · NPI 1881191948

Providence Health & Services Mt is a Metabolic Nutrition Registered Dietitian in Missoula, Montana. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2
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Practice location Address checks out

900 N Orange St Ste 304
Missoula, MT 59802-2951
Phone: (406) 329-5781
Fax: (406) 327-3331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X
Metabolic Nutrition Registered Dietitian Taxonomy 133VN1006X

Record details

NPI number1881191948
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Enrollments · (425) 358-9786
Other names Providence Medical Group Mt - Mdpp; Providence Medical Group Mt - Mdpp
NPI enumeratedApril 6, 2018
Last updated in NPPESMay 7, 2025
Certification dateMay 7, 2025
Mailing addressPo Box 31001 - 4114, Pasadena, CA 91110-4114

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