Individual
ALEXANDRA MARZULLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3101 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3095
(971) 282-4610
Mailing address
600 SE 177TH AVE UNIT A8, VANCOUVER, WA 98683-1847
(845) 242-2347
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/13/2021
Last updated
08/13/2021
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