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MS. REBECCA ROSE BUCK DOUVILLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
5120 SW RICHARDSON DR, PORTLAND, OR 97239-2054
(206) 390-0747
Mailing address
5120 SW RICHARDSON DR, PORTLAND, OR 97239-2054
(206) 390-0747

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
133NN1002X
Nutrition Education Nutritionist

Other

Enumeration date
05/10/2023
Last updated
05/15/2023
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