Individual
LISA M STEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CNSC
Contact information
Practice address
3600 NW SAMARITAN DR, CORVALLIS, OR 97330-3737
(541) 768-5111
Mailing address
984 NW CIRCLE BLVD APT 9, CORVALLIS, OR 97330-1452
(812) 870-5962
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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