AUDREY EASTTUM

PORTLAND, OR
NPI1104125608
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133VN1004X Dietitian, Registered, Nutrition, Pediatric
(Licence: OR  1016)
Enumeration Date2011-03-23
Last Update Date2022-03-08
Business Address
AUDREY EASTTUM RD, CSP, LD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-418-5257
Mailing Address
AUDREY EASTTUM RD, CSP, LD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number:
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