Individual
MEGAN DERAS GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CNS
Contact information
Practice address
1585 SW MARLOW AVE STE 200, PORTLAND, OR 97225-5178
(503) 548-4008
Mailing address
2990 SW WEST POINT AVE, PORTLAND, OR 97225-3377
(503) 515-8069
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
05/17/2017
Last updated
05/17/2017
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