| NPI | 1972012409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHARINE BURTON JEFFCOAT Dietitian/Owner 503-997-8897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR LD-D-000479) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA DI60717826) |
| 133VN1004X Dietitian, Registered Nutrition, Pediatric (Licence: OR LD-D-000479) | |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2018-03-17 |