Individual
ALISON MADLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
507 NE 47TH AVE, LEVEL B, PORTLAND, OR 97213-2236
(503) 215-5935
Mailing address
10355 SE 97TH CT, PORTLAND, OR 97266-7218
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
751
OR
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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