Individual
MS. JANET LEE MUCKRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD LD
Contact information
Practice address
3550 N INTERSTATE AVE, NUTRITION DEPARTMENT EAST INTERSTATE, PORTLAND, OR 97227-1196
(503) 286-6871
Mailing address
3550 NORTH INTERSTATE AVENUE, NUTRITION DEPARTMENT EAST INTERSTATE, PORTLAND, OR 97227-1097
(503) 286-6871
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
737
OR
Other
Enumeration date
12/05/2007
Last updated
06/26/2008
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