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 |