Whalio Doctors

NPI 1013199694

Janet Lee Muckridge, RDLD

Practitioner Registered Dietitian Portland, OR

Practice location

Address
3550 N Interstate Ave Nutrition Department East Interstate, Portland, OR 97227-1196
Phone
(503) 286-6871
Mailing address
3550 North Interstate Avenue Nutrition Department East Interstate, Portland, OR 97227-1097

Registered specialties

Registered Dietitian Primary
Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 737 (OR)

Registry record

NPI
1013199694
Entity type
Individual
Sex (as registered)
Female
NPI issued
5 Dec 2007
Record last updated
26 Jun 2008

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.