Individual
MS. AMY S TUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
17486 RIDGEVIEW LN, LAKE OSWEGO, OR 97034
(503) 418-5257
Mailing address
17486 RIDGEVIEW LN, LAKE OSWEGO, OR 97034
(503) 418-5257
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
580
OR
Other
Enumeration date
02/19/2007
Last updated
07/08/2007
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