Individual
ALISA M TORTORICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CSP, LD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, UHS-18, PORTLAND, OR 97239-3011
(503) 418-5257
(503) 494-3769
Mailing address
9517 N WOOLSEY AVE, PORTLAND, OR 97203
(503) 830-8948
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
568
OR
Other
Enumeration date
02/14/2007
Last updated
10/18/2010
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