Individual
GRACE BAILEY WALLINGFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2348 NW KEARNEY ST, PORTLAND, OR 97210-3016
(510) 407-6948
Mailing address
2348 NW KEARNEY ST, PORTLAND, OR 97210-3016
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
086391075
—
Other
Enumeration date
01/10/2026
Last updated
01/10/2026
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