Individual
ARIELA NIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
5211 NE GLISAN ST, BUILDING C, PORTLAND, OR 97213-3052
(503) 215-6628
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-D-10157226
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500725340
—
OR
Enumeration date
05/04/2017
Last updated
01/16/2019
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