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Individual

MS. GRETCHEN NEWMARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.D., M.A.

Contact information

Practice address
2525 NE 44TH AVE, PORTLAND, OR 97213-1218
(503) 249-8064
Mailing address
2525 NE 44TH AVE, PORTLAND, OR 97213-1218
(503) 249-8064

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000110
OR

Other

Enumeration date
08/22/2014
Last updated
08/22/2014
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