North Pacific Nutrition Counseling Llc | |
511 Se 11th Ave Ste 202 Portland OR 97214-2411 | |
(503) 766-2242 | |
Not Available |
Full Name | North Pacific Nutrition Counseling Llc |
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Speciality | Community/behavioral Health |
Location | 511 Se 11th Ave Ste 202, Portland, Oregon |
Authorized Official Name and Position | Annika Aina Ginsberg (REGISTERED DIETITIAN/NUTRITIONIST) |
Authorized Official Contact | 5037662242 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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North Pacific Nutrition Counseling Llc 511 Se 11th Ave Ste 202 Portland OR 97214-2411 Ph: (503) 766-2242 | North Pacific Nutrition Counseling Llc 511 Se 11th Ave Ste 202 Portland OR 97214-2411 Ph: (503) 766-2242 |
NPI Number | 1356793368 |
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Provider Enumeration Date | 07/01/2016 |
Last Update Date | 07/01/2016 |
Identifier | Type | State | Issuer |
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1356793368 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | LD-D-000924 (Oregon) | Primary |
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