| NPI | 1235769670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTA SUZZANNE SCHAEFER Registered Dietitian Nutritionist 503-313-6461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2020-01-24 |