Individual
KELLY CORRIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
10000 SE MAIN ST STE 316, PORTLAND, OR 97216-2470
(503) 256-1575
(503) 253-9848
Mailing address
10000 SE MAIN ST STE 316, PORTLAND, OR 97216-2470
(503) 256-1575
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
10234940
OR
133V00000X
Registered Dietitian
86075764
CA
Other
Enumeration date
09/17/2018
Last updated
04/28/2025
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