Individual
MARTA JOY SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2801 N GANTENBEIN AVE, PORTLAND, OR 97227-1623
(503) 413-4926
(503) 413-2212
Mailing address
2801 N GANTENBEIN AVE, PORTLAND, OR 97227-1623
(503) 413-4926
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
857
OR
133V00000X
Registered Dietitian
DI00001802
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8444242
—
OR
Enumeration date
06/07/2007
Last updated
01/31/2025
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