Individual
MEKAYLA R CARLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
10026 SW 28TH AVE, PORTLAND, OR 97219-6333
(916) 303-6802
Mailing address
10026 SW 28TH AVE, PORTLAND, OR 97219-6333
(916) 303-6802
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-D-10211391
OR
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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