Individual
CASSIDY AXELROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15322 SE ARISTA DR, PORTLAND, OR 97267-2655
(760) 518-3326
Mailing address
15322 SE ARISTA DR, PORTLAND, OR 97267-2655
(760) 518-3326
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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