Individual
COURTNEY MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-7157
Mailing address
7937 SW 40TH AVE APT C, PORTLAND, OR 97219-3599
(702) 408-7157
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-D-10225874
OR
Other
Enumeration date
02/24/2023
Last updated
02/24/2023
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