Individual
MARIA HIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6677 SW BANCROFT WAY, PORTLAND, OR 97225-1902
(208) 305-4298
Mailing address
6677 SW BANCROFT WAY, PORTLAND, OR 97225-1902
(208) 305-4298
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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