Optimal Nutrition is a health care provider in Molalla, OR. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||731 Kalugin Ct, Molalla, OR 97038-8815, US|
|Practice Location Phone||503-706-2696|
|Practice Location Fax||866-344-7774|
|Legal Business Name||OPTIMAL NUTRITION|
|Other Organization Name||OPTIMAL NUTRITION|
|Other Organization Name Type||An Other Name|
|Enumeration Date ?||Jan 13, 2015|
|Last Update Date ?||Jan 14, 2015|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Nutritionist||Dietary & Nutritional Service Providers||Nutrition, Education||107678997||Oregon|
|Dietitian, Registered||Dietary & Nutritional Service Providers||107678997||Oregon|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Optimal Nutrition's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||Anna K Reutov|
|Authorized Official Title/Position||DIETITIAN NUTRITIONAL THERAPIST|
|Authorized Official Phone Number||503-706-2696|