Individual
CYNTHIA WINSOR-MERCURIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1151 N ADAIR ST, CORNELIUS, OR 97113-8900
(503) 359-5564
(503) 434-8597
Mailing address
PO BOX 6149, ALOHA, OR 97007-0149
(503) 352-8657
(503) 434-8597
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-D-10194358
OR
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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