Individual
MIHO HATANAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
6018 SE STARK ST, PORTLAND, OR 97215
(201) 230-6848
Mailing address
6018 SE STARK ST, PORTLAND, OR 97215-1990
(201) 230-6848
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
10189410
OR
133V00000X
Registered Dietitian
—
—
Other
Enumeration date
01/29/2017
Last updated
01/21/2020
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