Individual
THERESA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3600 NW SAMARITAN DR, CORVALLIS, OR 97330-3737
(541) 768-6974
Mailing address
913 NORTH POINTE DR NW, ALBANY, OR 97321
(503) 991-9654
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/11/2006
Last updated
06/22/2012
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