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Organization

OPTIMAL NUTRITION

Active
Other names
Optimal Nutrition
Organization subpart
No

Provider details

NPI number
Authorized official
ANNA K REUTOV (DIETITIAN NUTRITIONAL THERAPIST)
(503) 706-2696
Entity
Organization

Contact information

Practice address
731 KALUGIN CT, MOLALLA, OR 97038-8815
(503) 706-2696
(866) 344-7774
Mailing address
731 KALUGIN CT, MOLALLA, OR 97038-8815
(503) 706-2696
(866) 344-7774

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
107678997
OR
133V00000X
Registered Dietitian
107678997
OR

Other

Enumeration date
01/13/2015
Last updated
01/14/2015
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