Individual
AMNA HUSSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.,L.D.,M.S.
Contact information
Practice address
3600 NW SAMARITAN DR, CORVALLIS, OR 97330-3737
(541) 768-5182
(541) 768-5183
Mailing address
255 MIRASOL AVE SE, SALEM, OR 97306-8593
(503) 306-8811
(541) 768-5183
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
755
OR
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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