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Individual

NOELLE FEIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS,RDN,LD

Contact information

Practice address
23335 SE STARK ST, GRESHAM, OR 97030-2923
(503) 465-0424
Mailing address
14100 REDWOOD CT, LAKE OSWEGO, OR 97034-2153
(503) 504-9264

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000665
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
881233
COMMISSION ON DIETITIAN REGISTRATION
OR
Enumeration date
07/21/2022
Last updated
07/21/2022
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