Optimal Nutrition
Organization Active NPI Nutrition Education Nutritionist · Molalla, OR
NPI 1386033488 · NPPES record last updated Jan 14, 2015
Key facts
- NPI
- 1386033488
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nutrition Education Nutritionist 133NN1002X
- License
- 107678997 (OR)
- Legal business name
- OPTIMAL NUTRITION
- Practice address
- 731 Kalugin CT
Molalla, OR 97038-8815 - Phone
- (503) 706-2696
- Fax
- (866) 344-7774
- NPI assigned
- Jan 13, 2015
- Organization subpart
- No
Authorized official
- Name
- Anna K Reutov
- Title
- Dietitian Nutritional Therapist
- Phone
- (503) 706-2696
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist |
133NN1002X | 107678997 | OR | Yes |
| Registered Dietitian |
133V00000X | 107678997 | OR |
Addresses
Primary practice location
731 Kalugin CT
Molalla, OR 97038-8815
Mailing address
731 Kalugin CT
Molalla, OR 97038-8815
Phone (503) 706-2696
Other names
- Optimal Nutrition
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All providers in Molalla, OR · Nutrition Education Nutritionist in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.