Individual
TESSA KOMINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LD, CD
Contact information
Practice address
2100 NE BROADWAY ST STE 225, PORTLAND, OR 97232
(971) 270-0590
(971) 255-1754
Mailing address
2100 NE BROADWAY ST STE 225, PORTLAND, OR 97232-1544
(971) 270-0590
(971) 255-1754
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-D-10188211
OR
Other
Enumeration date
10/11/2016
Last updated
10/21/2019
About Stedi
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