Individual
TANA ROSE BLODGETT-ROUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
9427 SW BARNES RD STE 390, PORTLAND, OR 97225-6652
(844) 987-0491
Mailing address
9427 SW BARNES RD STE 390, PORTLAND, OR 97225-6652
(503) 216-2111
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
10260522
OR
Other
Enumeration date
09/22/2025
Last updated
11/04/2025
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