Individual
ALEXA VIVIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
3224 SW 2ND AVE, PORTLAND, OR 97239-4610
(269) 762-3161
Mailing address
3224 SW 2ND AVE, PORTLAND, OR 97239-4610
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
10228330
OR
Other
Enumeration date
05/22/2026
Last updated
05/22/2026
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