DERRICK LEO NESHEM

PORTLAND, OR
NPI1942642319
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: WA  86021422)
Enumeration Date2013-07-25
Last Update Date2013-07-25
Business Address
Mr. DERRICK LEO NESHEM RD
3710 SW US VETERANS HOSPITAL RD PFNFS
PORTLAND, OR 97239-2964
Phone number: 503-220-8262
Mailing Address
Mr. DERRICK LEO NESHEM RD
3710 SW US VETERANS HOSPITAL RD PFNFS
PORTLAND, OR 97239-2964
Phone number: 503-220-8262
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