Individual
MIRANDA MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
4805 NE GLISAN ST, PORTLAND, OR 97213-2933
(503) 215-5682
Mailing address
4805 NE GLISAN ST, PORTLAND, OR 97213-2933
(503) 215-5682
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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