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Organization
AMANDA BIRKHEAD NUTRITION COUNSELING LLC
Active
Organization
AMANDA BIRKHEAD NUTRITION COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA BIRKHEAD (OWNER)
(303) 549-4850
Entity
Organization
Contact information
Practice address
5870 GREENSTONE CT SE, SALEM, OR 97306-6913
(303) 549-4850
Mailing address
5870 GREENSTONE CT SE, SALEM, OR 97306-6913
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/02/2022
Last updated
05/19/2022
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