| NPI | 1366922734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA ELIZABETH SHORT Sole Proprietor 971-273-8668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR LD-D-10144657) |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2018-08-15 |