Individual
TERESA MAE HOOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D.
Contact information
Practice address
3710 SW US VETERANS ROAD, P-5-NFS, PORTLAND, OR 97239
(503) 220-8262
Mailing address
6005 SE 20TH AVE, PORTLAND, OR 97202-5354
(503) 234-8098
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
832817
OR
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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