| NPI | 1619621984 |
|---|---|
| Doing Business As | NUTRISANDRARD |
| Entity Type | Organization |
| Authorized Contact | SANDRA L MORENO Owner/Provider 503-395-8890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2022-02-07 |
| Last Update Date | 2022-02-07 |