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Individual

DIANE ZACHARIAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
2826 SW 2ND AVE, PORTLAND, OR 97201-4712
(708) 307-6936
Mailing address
2826 SW 2ND AVE, PORTLAND, OR 97201-4712
(708) 307-6936

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
801042
IL

Other

Enumeration date
01/18/2016
Last updated
01/18/2016
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