Individual
KAILEEN MARIE LEVARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-3762
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-3762
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
10175884
OR
Other
Enumeration date
03/22/2016
Last updated
06/17/2016
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