Individual
EMILY FLYNN DIANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
2625 E BURNSIDE ST APT 326, PORTLAND, OR 97214-1875
(602) 540-2462
Mailing address
2625 E BURNSIDE ST APT 127, PORTLAND, OR 97214-1797
(602) 540-2462
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86167626
OR
Other
Enumeration date
08/26/2021
Last updated
08/16/2022
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