Individual
DANIELLE MARIE TOEPFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,LD
Contact information
Practice address
3001 N GANTENBEIN AVE, PORTLAND, OR 97227-1530
(503) 413-2000
Mailing address
1935 N WILLAMETTE BLVD, PORTLAND, OR 97217-4418
(708) 269-8618
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-D-000954
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1015584
COMMISSION ON DIETETIC REGISTRATION
—
01
—
LD-D-000954
BOARD OF LICENSED LICENSED DIETITIANS
OR
Enumeration date
05/08/2014
Last updated
05/08/2014
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