Individual
MARIE AUGUSTINA ESCAMILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NUTRITIONIST
Contact information
Practice address
2230 NW PETTYGROVE ST STE 110, PORTLAND, OR 97210-2659
(503) 227-0350
Mailing address
5621 NE 30TH AVE, PORTLAND, OR 97211-6807
(989) 316-6748
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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