Individual
CHRISTINA ANN MARIE HEIBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
5211 NE GLISAN ST BLDG C, PORTLAND, OR 97213-3052
(503) 215-6628
Mailing address
5211 NE GLISAN ST BLDG C, PORTLAND, OR 97213-3052
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1001792
OR
Other
Enumeration date
05/17/2017
Last updated
03/17/2018
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