NPI | 1548779028 |
---|---|
Entity Type | Organization |
Authorized Contact | VALERIE EDWARDS Registered Dietitian 503-908-4304 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR 000407) |
Enumeration Date | 2017-09-27 |
Last Update Date | 2019-10-14 |