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

Table Rock Nutrition and Diabetes Clinic

Organization Registered Dietitian · NPI 1053106500

Table Rock Nutrition and Diabetes Clinic is a Registered Dietitian in Medford, Oregon. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

122 E Main St Ste 400-110
Medford, OR 97501-6004
Phone: (541) 531-9548
Show map & directions

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

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1053106500
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kiah Sanger — Owner · (541) 531-9548
NPI enumeratedApril 14, 2025
Last updated in NPPESApril 14, 2025
Certification dateApril 14, 2025
Mailing address122 E Main St Ste 400-110, Medford, OR 97501-6004

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