Individual
SAMANTHA R LENROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
5311 NE GLISAN ST APT 402, PORTLAND, OR 97213-3074
(610) 585-9604
Mailing address
5311 NE GLISAN ST APT 402, PORTLAND, OR 97213-3074
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
10240042
OR
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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