Individual
LISA MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
17915 50TH ST E, LAKE TAPPS, WA 98391-6715
(775) 247-4123
Mailing address
5214 SW VIEW POINT TER, PORTLAND, OR 97239-3940
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001098679
THE COMMISSION ON DIETETIC REGISTRATION
—
Enumeration date
08/21/2020
Last updated
07/06/2024
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