Organization
PNW NUTRITION AND RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMARA L ROMAN-HOLBA MS, EDM, RD (OWNER)
(310) 906-8950
Entity
Organization
Contact information
Practice address
2455 NW MARSHALL ST STE 7, PORTLAND, OR 97210-2949
(310) 906-8950
Mailing address
2241 NW PETTYGROVE ST APT 7, PORTLAND, OR 97210-2685
(310) 906-8950
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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