Individual
PAIGE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
4424 NE GLISAN ST, PORTLAND, OR 97213-2331
(541) 638-8114
Mailing address
4424 NE GLISAN ST, PORTLAND, OR 97213-2331
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
133VN1004X
Pediatric Nutrition Registered Dietitian
—
OR
Other
Enumeration date
09/18/2017
Last updated
04/22/2024
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