Individual
ANTOINETTE EASTWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.N.
Contact information
Practice address
11930 SW GREENBURG RD, TIGARD, OR 97223-6453
(503) 639-3777
Mailing address
14778 NW VANCE DR, PORTLAND, OR 97229-9267
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
03/13/2015
Last updated
03/13/2015
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