Gardner, Megan Deras

Gardner, Megan Deras is an sole proprietor health care provider with primary practice located at 1585 Sw Marlow Ave Ste 200 , Portland OR 97225-5178. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as her primary health care specialty. Gardner, Megan Deras can be contacted via phone (503) 548-4008.

Contact Information

Primary practice address
1585 Sw Marlow Ave Ste 200 Portland OR 97225-5178
Fax:
Website:

Health care specialties

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

Profile Details

NPI number 1942737259
LBN Legal business name Gardner, Megan Deras
Credentials MS, CNS
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2017
Last updated May 17th, 2017 - about 7 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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