Fearless With Food, Llc

LBN: Fearless With Food, Llc
Fearless With Food, Llc is an health care organization with primary practice located at 2100 Ne Broadway St Ste 225 , Portland OR 97232-1544. The organization recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as the primary health care specialty. Fearless With Food, Llc can be contacted via phone (971) 270-0590, or through Komine, Tessa via phone (971) 270-0590.

Contact Information

Primary practice address
2100 Ne Broadway St Ste 225 Portland OR 97232-1544
Phone: (971) 270-0590
Fax: (971) 255-1754
Website:
Map and Directions
Authorized official contact:
Name: Komine, Tessa MS, RDN, LD, CD
Phone: (971) 270-0590

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X

Profile Details

NPI number 1174166441
LBN Legal business name Fearless With Food, Llc
DBA Doing business as
Authorized official Komine, Tessa MS, RDN, LD, CD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2019
Last updated Oct 19th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174166441 NPPES
Oregon MEDICAID 500742923

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