Individual
ALYSSA K GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
4805 NE GLISAN STREET, 1N11, PORTLAND, OR 97213
(971) 268-7620
Mailing address
4805 NE GLISAN STREET, 1N11, PORTLAND, OR 97213
(971) 268-7620
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
926460
CA
133V00000X
Registered Dietitian
LD-D-10210435
OR
Other
Enumeration date
01/16/2007
Last updated
03/26/2025
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