Pamela Jean Kelly Haskell, RD, LD
Dietitian, Registered, Nutrition, Pediatric in Portland, OR. Individual provider (NPI-1).
NPI number1962701565
StatusActive
Last updated in NPPESMar 22, 2011
Details
- NPI
- 1962701565
- Entity type
- Individual (NPI-1)
- Name
- Pamela Jean Kelly Haskell
- Credential
- RD, LD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 22, 2011
- Last updated
- Mar 22, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133VN1004X | Dietitian, Registered, Nutrition, Pediatric | 1019 | OR | Yes |
Practice location
3181 Sw Sam Jackson Park RdOhsu - Uhs 18
Portland, OR 97239-3011
Phone 503-418-5257
Mailing address
3181 Sw Sam Jackson Park RdOhsu - Uhs 18
Portland, OR 97239-3011
Phone 503-418-5257
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All 27 Pediatric Nutrition Registered Dietitian providers in Portland · All 48,847 providers in Portland
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