Individual
GRACE LAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD LD
Contact information
Practice address
10 PIER 1 STE 204, ASTORIA, OR 97103-6328
(503) 789-6850
Mailing address
415 CHINOOK AVE, ASTORIA, OR 97103-5709
(503) 410-0428
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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