Individual
LAURA EGLI CONDIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CNSD, LD
Contact information
Practice address
6410 NE HALSEY ST, 500, PORTLAND, OR 97213-4742
(503) 754-3515
Mailing address
3246 SE CARUTHERS ST, PORTLAND, OR 97214-5722
(503) 754-3515
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
304
OR
Other
Enumeration date
06/27/2008
Last updated
06/27/2008
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