Individual
MRS. RACHEL MARIE PORTEOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
3931 LOUISIANA AVE S, ST LOUIS PARK, MN 55426-5000
(952) 993-3123
(952) 993-1748
Mailing address
3931 LOUISIANA AVE S, ST LOUIS PARK, MN 55426-5000
(952) 993-3123
(952) 993-1748
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3761
MN
Other
Enumeration date
03/14/2017
Last updated
03/14/2017
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