Individual
CAROLE HILDEBRANDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NUTRITIONIST
Contact information
Practice address
16245 SW 93RD AVE, PORTLAND, OR 97224-5588
(971) 275-6823
Mailing address
16245 SW 93RD AVE, PORTLAND, OR 97224-5588
(971) 275-6823
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
000984
OR
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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