Corpo Sano Nutrition Llc

NPI 1134513286 - Nutritionist - 133N00000X

NPI Details
NPI 1134513286
Enumeration Date 03/26/2015
Last Updated 03/26/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name REBECCA E REBECCA
Position NUTRITIONAL THERAPY PRACTITIONER
Phone (503) 894-9118
Fax
Practice Location
5331 SW MACADAM AVE
SUITE 380
PORTLAND OR, 97239-6104, US
Phone (503) 894-9118
Fax
Business Location
1955 SE MORRISON ST
APT 208
PORTLAND OR, 97214-2782, US
Phone (971) 270-4977
Fax
Toxanomy
Taxonomy Code 133N00000X
License State
License Number
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According to our database, Corpo Sano Nutrition Llc NPI is 1134513286, taxonomy code is 133N00000X Corpo Sano Nutrition Llc physically located at 5331 Sw Macadam Ave, Portland OR, 97239-6104. NPI Number 1033115704 has the healthcare provider type.

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1134513286 NPI number is provided on an as is basis without warranty of any kind. 1134513286 is maintained by the National Plan & Provider Enumeration System. The contents of Corpo Sano Nutrition Llc are for informational purposes only.