Individual ProviderDiane Elizabeth MeehanDietitian, RegisteredDietary & Nutritional Service ProvidersPractice Address13905 SW Meridian St Unit 409, Beaverton, OR 97005-2475(917) 763-6000PECOS EnrollmentBased on the most recent information from CMS, provider Diane Elizabeth Meehan does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1497581045Provider TypeIndividualFull NameMeehan, Diane ElizabethCredentialRDN, LDGenderFemaleSole ProprietorYesEnumeration Date9/10/2024Last Updated9/17/2024Contact InformationPractice LocationPractice Address13905 SW Meridian St Unit 409, Beaverton, OR 97005-2475Phone(917) 763-6000FaxUnlisted FaxMailing LocationMailing Address13905 SW Meridian St Unit 409, Beaverton, OR 97005-2475Phone(917) 763-6000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode133V00000XPrimaryDescriptionDietitian, RegisteredDietary & Nutritional Service ProvidersLicenseLD-D-10166688Oregon