Individual
MRS. LEAH JERENE KRIEWALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D., L.D
Contact information
Practice address
725 S WAHANNA RD, NUTRITION SERVICES PROVIDENCE SEASIDE HOSPITAL, SEASIDE, OR 97138-7735
(503) 717-7290
Mailing address
725 S WAHANNA RD, NUTRITION SERVICES PROVIDENCE SEASIDE HOSPITAL, SEASIDE, OR 97138-7735
(503) 717-7290
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
775
OR
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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