Organization
EAT WELL NUTRITION COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA FREDRICKSON RD (OWNER, REGISTERED DIETITIAN)
(206) 755-8047
Entity
Organization
Contact information
Practice address
42 NE TILLAMOOK ST UNIT A, PORTLAND, OR 97212-4175
(206) 755-8047
Mailing address
42 NE TILLAMOOK ST UNIT A, PORTLAND, OR 97212-4175
(206) 755-8047
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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