Individual
ELIZABETH GAYNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASTER'S OF SCIENCE
Contact information
Practice address
333 NE RUSSELL ST STE 201, PORTLAND, OR 97212-3763
(646) 234-2882
Mailing address
10407 SE 24TH AVE, MILWAUKIE, OR 97222-7519
(646) 234-2882
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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