Individual
STEPHANIE OKUMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN
Contact information
Practice address
1235 SE DIVISION ST, PORTLAND, OR 97202-1099
(360) 726-4141
Mailing address
6611 SE STEELE ST, PORTLAND, OR 97206-5323
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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