Individual
STEFFANY BIXBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-1234
Mailing address
545 E DARTMOUTH ST, GLADSTONE, OR 97027-2527
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-D-10185890
OR
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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