Individual
MS. THEA LYNCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1601 E 4TH PLAIN BLVD, VANCOUVER, WA 98661-3713
(510) 759-4746
Mailing address
3846 N MELROSE DR, PORTLAND, OR 97227-1040
(510) 759-4746
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
999481
CA
133V00000X
Registered Dietitian
LD-D-10185772
OR
Other
Enumeration date
03/30/2012
Last updated
11/20/2021
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