Individual
EMILY STEWART-RONNISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4405 SE BELMONT ST APT 218, PORTLAND, OR 97215-1766
(586) 879-5412
Mailing address
4405 SE BELMONT ST APT 218, PORTLAND, OR 97215-1766
(586) 879-5412
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-D-10206563
OR
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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