Axelrod, Cassidy

Axelrod, Cassidy is an sole proprietor health care provider with primary practice located at 15322 Se Arista Dr , Portland OR 97267-2655. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as her primary health care specialty. Axelrod, Cassidy can be contacted via phone (760) 518-3326.

Contact Information

Primary practice address
15322 Se Arista Dr Portland OR 97267-2655
Phone: (760) 518-3326
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X

Profile Details

NPI number 1902583784
LBN Legal business name Axelrod, Cassidy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2023
Last updated Jul 3rd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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