Organization
PORTLAND NUTRITION GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIKTOR LOPATKIN (PRESIDENT)
(813) 324-1862
Entity
Organization
Contact information
Practice address
555 SE MARTIN LUTHER KING BLVD, PORTLAND, OR 97214-2526
(813) 324-1862
Mailing address
555 SE MARTIN LUTHER KING BLVD, PORTLAND, OR 97214-2526
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/30/2026
Last updated
04/30/2026
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