Individual
MRS. MELANIE DAWN JESKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD LD CDE
Contact information
Practice address
19500 SE STARK ST, PORTLAND, OR 97233-5757
(503) 669-3971
Mailing address
17840 S DICK DR, OREGON CITY, OR 97045-9278
(503) 631-7485
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
788
OR
Other
Enumeration date
07/16/2008
Last updated
07/16/2008
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