Individual
MRS. MARTHA G LOEFFLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CSR, LD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-3779
(503) 494-3762
Mailing address
3765 NE 2ND ST, GRESHAM, OR 97030-1705
(503) 494-3779
(503) 494-3762
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
138
PW
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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