NPI 1134513286
Corpo Sano Nutrition LLC
Practice location
- Address
- 5331 SW Macadam Ave Suite 380, Portland, OR 97239-6104
- Phone
- (503) 894-9118
- Mailing address
- 1955 SE Morrison St APT 208, Portland, OR 97214-2782
Authorised official
- Name
- Rebecca E Ross
- Title
- Nutritional Therapy Practitioner
- Phone
- (971) 270-4977
Registered specialties
Nutritionist
Primary
Registry record
- NPI
- 1134513286
- Entity type
- Organization
- NPI issued
- 26 Mar 2015
- Record last updated
- 26 Mar 2015
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.