Individual
ADESUA ILOGIENBOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1001 N PROVIDENCE DR, NEWBERG, OR 97132-7485
(503) 537-1536
Mailing address
1001 N PROVIDENCE DR, NEWBERG, OR 97132-7485
(503) 537-1536
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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