Individual
MADELAINE VICTORIA BETANCOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSCN
Contact information
Practice address
5712 SE HOLGATE BLVD, PORTLAND, OR 97206-3828
(503) 437-8123
Mailing address
5712 SE HOLGATE BLVD, PORTLAND, OR 97206-3828
(503) 437-8123
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
11/29/2024
Last updated
11/29/2024
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