Linda A Banchini, Nutritionist
Nutritionist in Portland, OR. Individual provider (NPI-1).
NPI number1881244580
StatusActive
Last updated in NPPESSep 14, 2019
Details
- NPI
- 1881244580
- Entity type
- Individual (NPI-1)
- Name
- Linda A Banchini
- Credential
- Nutritionist
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 14, 2019
- Last updated
- Sep 14, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133N00000X | Nutritionist | – | – | Yes |
Practice location
11540 Sw 58th CtPortland, OR 97219-7256
Phone 503-473-2911
Mailing address
11540 Sw 58th CtPortland, OR 97219-7256
Phone 503-473-2911
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