Individual
JESSICA L BELKNAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD, CLC
Contact information
Practice address
4805 NE GLISAN ST, PORTLAND, OR 97213-2933
(503) 215-5160
Mailing address
4805 NE GLISAN ST, PORTLAND, OR 97213-2933
(503) 215-5160
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-D-10240812
OR
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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