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Organization

NUTRITION COUNSELING NW

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VALERIE EDWARDS MS, RD, LD (REGISTERED DIETITIAN)
(503) 908-4304
Entity
Organization

Contact information

Practice address
520 SW YAMHILL ST STE 345, PORTLAND, OR 97204-1335
(503) 908-4304
Mailing address
2324 N SUMNER ST, PORTLAND, OR 97217-3835

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000407
OR

Other

Enumeration date
09/27/2017
Last updated
10/14/2019
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