Individual
SHAWN HALTON PORTWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDN
Contact information
Practice address
2725 MARSHALL CT APT 212, MADISON, WI 53705-2288
(413) 275-3176
Mailing address
2725 MARSHALL CT APT 212, MADISON, WI 53705-2288
(413) 275-3176
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
5429-29
WI
Other
Enumeration date
08/02/2025
Last updated
08/09/2025
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