Organization
NEW LEAF FAMILY NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WHITNEY LUNDY MS, RDN, LD (REGISTERED DIETITIAN NUTRITIONIST)
(503) 551-4072
Entity
Organization
Contact information
Practice address
780 COMMERCIAL ST SE STE 305, SALEM, OR 97301-3455
(503) 551-4072
Mailing address
119 MUIRFIELD CT SE, SALEM, OR 97306-8598
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-D-10183927
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457889057
—
OR
Enumeration date
08/15/2018
Last updated
08/15/2018
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