Individual
NATALIE ANNE SCANDURRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CSP, LD
Contact information
Practice address
19185 SW 90TH AVE, TUALATIN, OR 97062-7558
(503) 813-2000
Mailing address
7510 SE MILWAUKIE AVE APT 209, PORTLAND, OR 97202-6113
(206) 450-5876
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
10193327
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10193327
LICENSED DIETITIAN
OR
01
—
86080950
REGISTERED DIETITIAN
—
Enumeration date
09/19/2018
Last updated
12/20/2021
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