Mindy Smith
Dietitian, Registered, Nutrition, Pediatric in Portland, OR. Individual provider (NPI-1).
NPI number1982154043
StatusActive
Last updated in NPPESOct 12, 2016
Details
- NPI
- 1982154043
- Entity type
- Individual (NPI-1)
- Name
- Mindy Smith
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 12, 2016
- Last updated
- Oct 12, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133VN1004X | Dietitian, Registered, Nutrition, Pediatric | 10167097 | OR | Yes |
Practice location
3181 Sw Sam Jackson Park RdPortland, OR 97239-3011
Phone 503-494-3273
Mailing address
3181 Sw Sam Jackson Park RdPortland, OR 97239-3011
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All 27 Pediatric Nutrition Registered Dietitian providers in Portland · All 48,847 providers in Portland
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