Individual
HEATHER M SCHROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NTP
Contact information
Practice address
314 NE 19TH AVE, PORTLAND, OR 97232-2829
(503) 239-8181
Mailing address
314 NE 19TH AVE, PORTLAND, OR 97232-2829
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
06/11/2013
Last updated
06/11/2013
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