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Individual

AIDA SADEGHI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, CNS, CN, LD

Contact information

Practice address
3439 SE HAWTHORNE BLVD # 1122, PORTLAND, OR 97214-5048
(949) 438-0862
Mailing address
8732 NE WEBSTER ST, PORTLAND, OR 97220-4622
(949) 241-0819
(877) 920-2214

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
CA

Other

Enumeration date
04/05/2019
Last updated
01/10/2024
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