Individual
JILL MARONDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS NUTRITION
Contact information
Practice address
15895 SW 72ND AVE, PORTLAND, OR 97224-7977
(503) 430-1952
Mailing address
17730 SW 111TH AVE, TUALATIN, OR 97062-7154
(503) 691-2800
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
02/17/2018
Last updated
02/17/2018
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