Individual
EDWARD ANGELO SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD, LD
Contact information
Practice address
335 SE 8TH AVE, HILLSBORO, OR 97123-4246
(503) 504-2029
Mailing address
335 SE 8TH AVE, HILLSBORO, OR 97123-4246
(503) 504-2029
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-D-10219904
OR
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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