Organization
MIKALAH BAREM NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKALAH A BAREM RD, CD (REGISTERED DIETITIAN)
(360) 540-3735
Entity
Organization
Contact information
Practice address
5334 N MISSOURI AVE, PORTLAND, OR 97217-2546
(360) 540-3735
Mailing address
5334 N MISSOURI AVE, PORTLAND, OR 97217-2546
(360) 540-3735
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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