Organization
STRATEGIC NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE L STREALY RD, LD (REGISTERED DIETITIAN)
(503) 974-6454
Entity
Organization
Contact information
Practice address
5021 TUALATA LN, LAKE OSWEGO, OR 97035-7116
(503) 974-6454
Mailing address
5021 TUALATA LN, LAKE OSWEGO, OR 97035-7116
(503) 974-6454
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-D-000446
OR
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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