Amy Dorman, RD
Dietitian, Registered in Portland, OR. Individual provider (NPI-1).
NPI number1760629554
StatusActive
Last updated in NPPESJan 15, 2009
Details
- NPI
- 1760629554
- Entity type
- Individual (NPI-1)
- Name
- Amy Dorman
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 15, 2009
- Last updated
- Jan 15, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 892 | OR | Yes |
Practice location
3181 Sw Sam Jackson Park RdPortland, OR 97239-3011
Phone 503-494-4578
Mailing address
3181 Sw Sam Jackson Park RdPortland, OR 97239-3011
Phone 503-494-4578
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