| NPI | 1003399858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA BOHNENGEL Owner, Registered Dietitian 503-407-2549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR 10159622) |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2018-09-07 |