Individual
MELISSA MARTUTARTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 652-2880
Mailing address
3155 SW MOODY AVE APT 409, PORTLAND, OR 97239-4732
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86046839
CA
Other
Enumeration date
12/14/2017
Last updated
12/14/2017
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