Individual
LINDA A BANCHINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NUTRITIONIST
Contact information
Practice address
11540 SW 58TH CT, PORTLAND, OR 97219-7256
(503) 473-2911
Mailing address
11540 SW 58TH CT, PORTLAND, OR 97219-7256
(503) 473-2911
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
09/14/2019
Last updated
09/14/2019
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