Individual
RACHEL MACKINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD LD
Contact information
Practice address
5200 S MACADAM AVE STE 580, PORTLAND, OR 97239-3837
(503) 231-7854
Mailing address
4470 SE 12TH AVE, PORTLAND, OR 97202-5017
(503) 756-7103
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-D-10168416
OR
Other
Enumeration date
03/13/2021
Last updated
03/13/2021
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