MR. Brice William Suprenant, R.D.

NPI #1790179075 in Milwaukie, Oregon

Provider Information

NPI Number
1790179075
Entity Type
Individual
Name
MR. Brice William Suprenant, R.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dietitian, Registered
Credential
R.D.
Enumeration Date
Mar 24, 2015
Last Updated
Mar 24, 2015

Practice Location

Address
16099 SE MCLOUGHLIN BLVD
State
Oregon
ZIP Code
97267-4680
Phone
(503) 922-2951

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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