Fredrickson, Amanda Kristine

Fredrickson, Amanda Kristine is an individual health care provider with primary practice located at 3611 Se 64Th Ave. , Portland OR 97206. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Fredrickson, Amanda Kristine can be contacted via phone (503) 494-8300.

Contact Information

Primary practice address
3611 Se 64Th Ave. Portland OR 97206
Phone: (503) 494-8300
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1346852365
LBN Legal business name Fredrickson, Amanda Kristine
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2020
Last updated Aug 20th, 2020 - about 6 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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