| NPI | 1679823108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE L STREALY Registered Dietitian 503-974-6454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR LD-D-000446) |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2012-09-12 |