Individual
NICOLE CROTTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED DIETITIAN
Contact information
Practice address
4805 NE GLISAN ST STE 6N40, PORTLAND, OR 97213-2933
(253) 569-1239
Mailing address
4805 NE GLISAN ST STE 6N40, PORTLAND, OR 97213-2933
(253) 569-1239
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86030964
WA
Other
Enumeration date
12/19/2018
Last updated
06/26/2024
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