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

Southern Oregon Nutrition & Diabetes Training Center

Organization Registered Dietitian · NPI 1104907609

Southern Oregon Nutrition & Diabetes Training Center is a Registered Dietitian in Medford, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006

Practice location Address checks out

825 E Main St Ste C
Medford, OR 97504-7133
Phone: (541) 245-0713
Fax: (541) 779-3526
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 366 (OR)

Record details

NPI number1104907609
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Spiva — Dietitian/Owner · (541) 245-0713
NPI enumeratedOctober 18, 2006
Last updated in NPPESJuly 23, 2007
Mailing address825 E Main St, Suite C, Medford, OR 97504-7133

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