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Organization

CORPO SANO NUTRITION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. REBECCA E ROSS NTP (NUTRITIONAL THERAPY PRACTITIONER)
(971) 270-4977
Entity
Organization

Contact information

Practice address
5331 SW MACADAM AVE, SUITE 380, PORTLAND, OR 97239-6104
(503) 894-9118
Mailing address
1955 SE MORRISON ST, APT 208, PORTLAND, OR 97214-2782
(971) 270-4977

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary

Other

Enumeration date
03/26/2015
Last updated
03/26/2015
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