Individual
NORA GEDGAUDAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1920 NW JOHNSON ST, SUITE #123, PORTLAND, OR 97209-1325
(503) 274-7733
(503) 274-7770
Mailing address
1920 NORTH WEST JOHNSON STREET, SUITE #123, PORTLAND, OR 97209
(503) 274-7733
(503) 274-7770
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
000400
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
133N00000X
NUTRITIONIST
OR
Enumeration date
03/21/2011
Last updated
03/21/2011
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