Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Table Rock Nutrition and Diabetes Clinic

Organization Registered Dietitian · NPI 1053106500

Table Rock Nutrition and Diabetes Clinic provides Registered Dietitian services 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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