Individual
ANDREW P DAGOSTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1900 E FULTON ST, NEWBERG, OR 97132-1806
(408) 472-5976
Mailing address
4721 SE 70TH AVE, PORTLAND, OR 97206-4454
(408) 472-5976
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
98115
CA
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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