NPI 1790179075
Brice William Suprenant, RD
Practice location
- Address
- 16099 SE McLoughlin Blvd, Milwaukie, OR 97267-4680
- Phone
- (503) 922-2951
- Mailing address
- 2023 SW River Sq, Portland, OR 97201-8017
Registered specialties
Registered Dietitian
Primary
Registry record
- NPI
- 1790179075
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 24 Mar 2015
- Record last updated
- 24 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.