GI NUTRITION NW, LLC

BEAVERTON, OR
NPI1427632884
Entity TypeOrganization
Authorized ContactTINA PATNODE
Owner
971-238-2369
Organization Subpart ?No
Primary Taxonomy133V00000X Dietitian, Registered
Enumeration Date2021-05-11
Last Update Date2021-05-11
Business Address
GI NUTRITION NW, LLC
4145 SW WATSON AVE STE 350
BEAVERTON, OR 97005-2191
Phone number: 971-238-2369
Mailing Address
GI NUTRITION NW, LLC
8530 SW 147TH TER UNIT 101
BEAVERTON, OR 97007-6978
Phone number: 503-319-8449