| NPI | 1356793368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIKA AINA GINSBERG Registered Dietitian/Nutritionist 503-766-2242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: OR LD-D-000924) |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2016-07-01 |