NPI | 1376925719 |
---|---|
Doing Business As | PREMIER ENDOCRINOLOGY ASSOCIATES |
Entity Type | Organization |
Authorized Contact | LETICIA M. LOARCA Office Manager 503-967-4240 |
Organization Subpart ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR LD-D-000451) |
Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: OR LD-D-000451) |
Enumeration Date | 2015-06-22 |
Last Update Date | 2022-07-21 |