NPI 1053900043

Angela Bublik

Practitioner Nutritionist Portland, OR

Practice location

Address: 5506 SE Lexington St, Portland, OR 97206-9024
Phone: (971) 313-3778

Registered specialties

Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133N00000X Licence NU60903817 (WA)

Other Nutritionist providers in Oregon →

Registry record

NPI: 1053900043
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Jan 2021
Record last updated: 13 Jan 2021

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.