Organization
MENTHA NUTRITION COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYTLIN KIMBALL M.ED., RD, LDN (BUSINESS OWNER, RD)
(971) 404-4705
Entity
Organization
Contact information
Practice address
620 SE OAK ST STE E, HILLSBORO, OR 97123-4160
(503) 747-3096
Mailing address
715 S 8TH AVE, CORNELIUS, OR 97113-6926
(971) 404-4705
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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