Moffitt, Selena
Moffitt, Selena is an sole proprietor health care provider with primary practice located at 5331 Sw Macadam Ave Ste 380 , Portland OR 97239-3879. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as her primary health care specialty. Moffitt, Selena can be contacted via phone (503) 894-9118.Contact Information
Primary practice address
5331 Sw Macadam Ave Ste 380
Portland OR 97239-3879
Phone: (503) 894-9118
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutritionist | 133N00000X |
Profile Details
| NPI number | 1689076796 |
|---|---|
| LBN Legal business name | Moffitt, Selena |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 19th, 2014 |
| Last updated | Sep 19th, 2014 - about 10 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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