MIRANDA R PETRONE

PORTLAND, OR
NPI1124660816
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: OR  LD-D-10215688)
Additional Taxonomies133V00000X Dietitian, Registered
(Licence: NC  L005959)
Enumeration Date2019-10-14
Last Update Date2023-06-09
Business Address
MIRANDA R PETRONE Ms, RDN, LDN
4805 NE GLISAN ST STE 6N40
PORTLAND, OR 97213-2933
Phone number: 503-215-7230
Mailing Address
MIRANDA R PETRONE Ms, RDN, LDN
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494