LARA TERESA KERNER

PORTLAND, OR
NPI1841740727
Former NameLARA TERESA GORDON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133VN1004X Dietitian, Registered, Nutrition, Pediatric
(Licence: OR  10178265)
Enumeration Date2016-10-04
Last Update Date2016-10-07
Business Address
Mrs. LARA TERESA KERNER RD, LD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-418-5257
Mailing Address
Mrs. LARA TERESA KERNER RD, LD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-418-5257