SUZANNE BLACK

PORTLAND, OR
NPI1760980874
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: OR  LD-D-000313)
Enumeration Date2018-01-24
Last Update Date2019-04-03
Business Address
SUZANNE BLACK RDN
5211 NE GLISAN ST BLDG C
PORTLAND, OR 97213-3052
Phone number: 503-215-6628
Mailing Address
SUZANNE BLACK RDN
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number:
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