Individual
GRACE GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
10430 SW 55TH AVE, PORTLAND, OR 97219-5850
(425) 629-9378
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI60715098
WA
Other
Enumeration date
12/05/2016
Last updated
11/06/2018
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