Individual
CARLY GUNDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CDCES
Contact information
Practice address
2211 NE 139TH ST, VANCOUVER, WA 98686-2742
(360) 487-1251
Mailing address
4750 N ALBINA AVE APT 404, PORTLAND, OR 97217-2671
(856) 630-7684
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI61352146
WA
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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