Mlb Nutrition & Wellness, LLC

NPI #1124397062 in Portland, Oregon

Provider Information

NPI Number
1124397062
Entity Type
Organization
Organization Name
Mlb Nutrition & Wellness, LLC
Primary Specialty
Dietitian, Registered - Nutrition, Metabolic
Enumeration Date
Dec 21, 2011
Last Updated
Dec 21, 2011

Practice Location

Address
10101 SE MAIN ST
State
Oregon
ZIP Code
97216-2455
Phone
(917) 680-2820

Authorized Official

Name
MS. MELISSA LYNN BOLLMAN, M.S., R.D.
Title
PRESIDENT
Phone
(917) 680-2820

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered - Nutrition, MetabolicNutrition, Metabolic

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