Individual
STEPHANE KASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, NUTRITION AND FOOD SERVICES (P-5 NFS) #1034, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
57 NE WYGANT ST, 5, PORTLAND, OR 97211-2759
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDD10164586
OR
Other
Enumeration date
12/11/2014
Last updated
12/11/2014
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