NPI 1124397062

Mlb Nutrition & Wellness, LLC

Organisation Metabolic Nutrition Registered Dietitian Portland, OR

Practice location

Address: 10101 SE Main St, Portland, OR 97216-2455
Phone: (917) 680-2820
Mailing address: 5071 W Sunset Dr, Lake Oswego, OR 97035-4253

Authorised official

Name: Melissa Lynn Bollman
Title: President
Phone: (917) 680-2820

Registered specialties

Metabolic Nutrition Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133VN1006X Licence LDD10144515 (OR)

Other Dietitian, Registered providers in Oregon →

Registry record

NPI: 1124397062
Entity type: Organization
NPI issued: 21 Dec 2011
Record last updated: 21 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.