Individual
SAMANTHA MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
4549 N WILLIAMS AVE UNIT B, PORTLAND, OR 97217-2877
(559) 232-2784
Mailing address
4549 N WILLIAMS AVE UNIT B, PORTLAND, OR 97217-2877
(559) 232-2784
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
10245998
OR
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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