Individual
RACHEL FISKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35 MILLER AVE STE 273, MILL VALLEY, CA 94941-1903
(415) 302-3651
Mailing address
2924 NE 43RD AVE, PORTLAND, OR 97213-1107
(503) 577-3003
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
04/27/2018
Last updated
04/27/2018
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