Individual
MALISSA MAY WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
3303 SW BOND AVE, PORTLAND, OR 97239-4501
(503) 494-4373
(503) 418-4189
Mailing address
3303 SW BOND AVE, PORTLAND, OR 97239-4501
(503) 494-4373
(503) 418-4189
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
10158606
OR
133V00000X
Registered Dietitian
Primary
888819
OR
Other
Enumeration date
08/11/2006
Last updated
03/17/2018
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