Organization
ANDREA MARIE NUTRITIONAL COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA COX RD, LD (REGISTERED DIETITIAN)
(971) 303-2394
Entity
Organization
Contact information
Practice address
511 SE 11TH AVE # 202, PORTLAND, OR 97214-2411
(971) 303-2394
Mailing address
10080 SE SHADY LN, DAMASCUS, OR 97089-6304
(971) 303-2394
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-D-10172441
OR
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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