Carole L Matiaco, RD, LD

NPI #1700149580 in Tigard, Oregon

Provider Information

NPI Number
1700149580
Entity Type
Individual
Name
Carole L Matiaco, RD, LD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dietitian, Registered
Credential
RD, LD
Enumeration Date
Jun 18, 2012
Last Updated
Mar 27, 2015

Practice Location

Address
15895 SW 72ND AVE
Address 2
SUITE 250 BLDG B
City
Tigard
State
Oregon
ZIP Code
97224-7977
Phone
(503) 624-5630

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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