NPI | 1861892531 |
---|---|
Entity Type | Organization |
Authorized Contact | DANA R STURTEVANT Dietitian/Trainer/Mentor/Owner 503-288-4104 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR 777) |
Enumeration Date | 2014-08-29 |
Last Update Date | 2014-08-29 |