| NPI | 1568910321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS BOSCH Registered Dietitian 541-844-7489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR LD-D-10177915) |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2016-09-21 |