Individual
GREGORY LEE LUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
255 LANCASTER DR NE, SALEM, OR 97301-5155
(503) 576-8360
(503) 576-8410
Mailing address
PO BOX 190, TOPPENISH, WA 98948-0190
(509) 408-6298
(509) 865-7057
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-D-10263069
OR
Other
Enumeration date
11/27/2017
Last updated
11/03/2025
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