Organization
NUTRITION GENOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEX JESS SWANSON M.S. (FOUNDER)
(541) 797-3036
Entity
Organization
Contact information
Practice address
395 SW BLUFF DR STE 10, BEND, OR 97702-1670
(541) 797-3036
Mailing address
395 SW BLUFF DR STE 10, BEND, OR 97702-1670
(541) 797-3036
Taxonomy
Speciality
Code
Description
License number
State
261QG0250X
Genetics Clinic/Center
Primary
—
—
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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