Individual
GRETCHEN MARIE RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 709-5809
Mailing address
2275 NW SAVIER ST APT 208, PORTLAND, OR 97210-3914
(503) 709-5809
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDD001015
OR
Other
Enumeration date
05/16/2014
Last updated
09/28/2014
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