Individual
JESSICA LYNN MARTINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RDN
Contact information
Practice address
4524 SE 36TH PL, PORTLAND, OR 97202-3223
(503) 577-9189
(503) 577-9189
Mailing address
4524 SE 36TH PL, PORTLAND, OR 97202-3223
(503) 577-9189
(503) 577-9189
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-D-000864
OR
Other
Enumeration date
03/29/2018
Last updated
03/29/2018
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