Individual
PAULA J. STAAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD LD
Contact information
Practice address
1130 NW 22ND AVE, SUITE 640, PORTLAND, OR 97210-2900
(503) 229-7976
(503) 274-4867
Mailing address
1130 NW 22ND AVE, SUITE 640, PORTLAND, OR 97210-2900
(503) 229-7976
(503) 274-4867
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
000937
OR
Other
Enumeration date
03/22/2017
Last updated
03/22/2017
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