Individual
JULEEANNA ANDREONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LD RD CDE
Contact information
Practice address
1620 SE KNAPP ST, PORTLAND, OR 97202-6010
(503) 308-8012
(833) 407-9210
Mailing address
1620 SE KNAPP ST, PORTLAND, OR 97202-6010
(503) 308-8012
(833) 407-9210
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
611
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500622902
—
OR
Enumeration date
05/24/2007
Last updated
01/22/2021
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