ANDREA LYDDANE

PORTLAND, OR
NPI1114414646
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133VN1004X Dietitian, Registered Nutrition, Pediatric
(Licence: OR  1017588)
Enumeration Date2018-04-19
Last Update Date2018-04-19
Business Address
ANDREA LYDDANE
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-418-5257
Mailing Address
ANDREA LYDDANE
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: