TYRELL ANTHONY COMEAUX

GRESHAM, OR
NPI1356806970
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: OR  10178292)
Enumeration Date2019-02-07
Last Update Date2019-02-07
Business Address
Mr. TYRELL ANTHONY COMEAUX MS, RD
24800 SE STARK ST
GRESHAM, OR 97030-3378
Phone number: 503-674-1275
Mailing Address
Mr. TYRELL ANTHONY COMEAUX MS, RD
14030 SW BURLWOOD LN
BEAVERTON, OR 97005-2362
Phone number: 503-707-6164