THIS

PORTLAND, OR
NPI1598291999
Entity TypeOrganization
Authorized ContactAMY ESATTO
Dietitian, Owner
503-949-5499
Organization Subpart ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: OR  10162720)
Enumeration Date2017-05-04
Last Update Date2017-05-04
Business Address
THIS
1312 E BURNSIDE ST
PORTLAND, OR 97214-1424
Phone number: 503-949-5499
Mailing Address
THIS
3824 SE 98TH AVE
PORTLAND, OR 97266-2502
Phone number: 503-949-5499