Individual
JAMIE DIMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1281 N JESSUP ST, PORTLAND, OR 97217-4675
(716) 870-6583
Mailing address
1281 N JESSUP ST, PORTLAND, OR 97217-4675
(716) 870-6583
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
01/29/2021
Last updated
01/29/2021
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