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Organization

TARA YOUNG PHD RD NUTRITION CONSULTANT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TARA YOUNG PHD RD (REGISTERED DIETITIAN)
(240) 444-2962
Entity
Organization

Contact information

Practice address
1326 SE 16TH AVE, CANBY, OR 97013-6370
(240) 444-2962
Mailing address
1326 SE 16TH AVE, CANBY, OR 97013-6370
(240) 444-2962

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
07/25/2024
Last updated
07/13/2025
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