Individual
JOAN E GUTHRIE MEDLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3638 SW VESTA ST, PORTLAND, OR 97219-7564
(971) 645-4722
(503) 446-6053
Mailing address
3638 SW VESTA ST, PORTLAND, OR 97219-7564
(971) 645-4722
(503) 446-6053
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
520
OR
133V00000X
Registered Dietitian
Primary
709397
OR
Other
Enumeration date
02/27/2011
Last updated
10/18/2012
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