Individual
MR. DERRICK LEO NESHEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PFNFS, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
3710 SW US VETERANS HOSPITAL RD, PFNFS, PORTLAND, OR 97239-2964
(503) 220-8262
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86021422
WA
Other
Enumeration date
07/25/2013
Last updated
07/25/2013
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