Individual
PHOEBE HIU-NAM LUC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
9135 SW BARNES RD STE 763, PORTLAND, OR 97225-6777
(503) 216-6050
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
86131233
OR
133V00000X
Registered Dietitian
Primary
LD-D-10217060
OR
Other
Enumeration date
11/17/2021
Last updated
06/09/2023
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