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Individual

LOIS AMY TOBIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD,CSR,LD

Contact information

Practice address
6902 SE LAKE RD, SUITE 302, MILWAUKIE, OR 97267-2148
(503) 786-1148
(503) 786-1170
Mailing address
13520 SW AERIE DR, TIGARD, OR 97223-2807
(503) 524-4541

Taxonomy

Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
225
OR

Other

Enumeration date
10/06/2009
Last updated
10/06/2009
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