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Organization
ALAVITA PERINATAL NUTRITION ASSOCIATES, LLC
Active
Organization
ALAVITA PERINATAL NUTRITION ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA BOHNENGEL RD (OWNER, REGISTERED DIETITIAN)
(503) 407-2549
Entity
Organization
Contact information
Practice address
106 SW WOODS ST STE A, PORTLAND, OR 97201-4739
(503) 407-2549
Mailing address
4611 N KERBY AVE, PORTLAND, OR 97217-3043
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
10159622
OR
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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