| NPI | 1801452818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAQUEL MARIE ROSE Registered Dietitian Nutritionist 503-825-0075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2019-12-09 |