Lucille Glaize MS RD LD

NPI 1720476971 - Dietitian, Registered - 133VN1004X

NPI Details
NPI 1720476971
Gender Female
Enumeration Date 12/22/2014
Last Updated 01/13/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
3181 SW SAM JACKSON PARK RD
PORTLAND OR, 97239-3011, US
Phone (503) 418-5257
Fax
Business Location
3181 SW SAM JACKSON PARK RD
PORTLAND OR, 97239-3011, US
Phone
Fax
Toxanomy
Taxonomy Code 133VN1004X
License State Oregon
License Number 227965
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According to our database, Lucille Glaize MS RD LD NPI is 1720476971, taxonomy code is 133VN1004X and license number is 227965, license state is located at Oregon. Lucille Glaize MS RD LD physically located at 3181 Sw Sam Jackson Park Rd, Portland OR, 97239-3011. NPI Number Lucille Glaize MS RD LD has the Individual type.

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1720476971 NPI number is provided on an as is basis without warranty of any kind. 1720476971 is maintained by the National Plan & Provider Enumeration System. The contents of Lucille Glaize MS RD LD are for informational purposes only.