Kindra L Thrasher, MS, RDN, LD
Dietitian, Registered, Nutrition, Metabolic in Portland, OR. Individual provider (NPI-1).
NPI number1114453099
StatusActive
Last updated in NPPESJan 14, 2020
Details
- NPI
- 1114453099
- Entity type
- Individual (NPI-1)
- Name
- Kindra L Thrasher
- Credential
- MS, RDN, LD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 11, 2017
- Certification date
- Jan 14, 2020
- Last updated
- Jan 14, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133VN1006X | Dietitian, Registered, Nutrition, Metabolic | 1308212 | OR | Yes |
Other names
- Kindra Leann Spohn (Former Name)
Practice location
10101 Se Main St Ste 2011Portland, OR 97216-2457
Phone 503-255-3404
Mailing address
10101 Se Main St Ste 2011Portland, OR 97216-2457
Phone 503-255-3404
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