Individual
MRS. KIMBERLY A RONDEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD,LD
Contact information
Practice address
19185 SW 90TH AVE, TUALATIN, OR 97062-7558
(503) 885-5385
(503) 885-7388
Mailing address
1256 SE 16TH AVE, CANBY, OR 97013-6308
(503) 263-1628
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
436
OR
Other
Enumeration date
10/09/2008
Last updated
10/09/2008
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