Individual
MISS MEGAN HUANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
10803 SE CHERRY BLOSSOM DR, PORTLAND, OR 97216-3107
(503) 261-7200
Mailing address
10803 SE CHERRY BLOSSOM DR, PORTLAND, OR 97216-3107
(503) 261-7200
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1020398
GA
363A00000X
Physician Assistant
Primary
PA180927
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01020398
COMMISSION ON DIETETIC REGISTRATION
GA
05
—
500719911
—
OR
01
—
LD003593
GEORGIA BOARD OF EXAMINERS OF LICENSED DIETITIANS
GA
Enumeration date
04/02/2012
Last updated
06/28/2019
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