JORDYN DOMOGALLA

PORTLAND, OR
NPI1033687868
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: OR  10193658)
Enumeration Date2018-11-09
Last Update Date2018-11-13
Business Address
JORDYN DOMOGALLA
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-3248
Mailing Address
JORDYN DOMOGALLA
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: