STEPHANIE ALICE RUSSELL

BEND, OR
NPI1093983959
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: OR  LD-D-10255383)
Additional Taxonomies133V00000X Dietitian, Registered
(Licence: WA  987692)
Enumeration Date2008-02-13
Last Update Date2025-06-06
Business Address
STEPHANIE ALICE RUSSELL RDN, LD
369 NE REVERE AVE STE 105
BEND, OR 97701-4082
Phone number: 541-323-3488
Mailing Address
STEPHANIE ALICE RUSSELL RDN, LD
369 NE REVERE AVE STE 105
BEND, OR 97701-4082
Phone number: 541-323-3488