Samantha Ellefson, RDLDCSP
Samantha Ellefson, RDLDCSP is a Registered Dietitian in Portland, Oregon. Practices as a sole proprietor. Licensed in Georgia and Oregon.
- Licensed in
- GA, OR
- In the registry since
- 2013
- Specialties on file
- 2
Practice location Address checks out
3181 S.w Sam Jackson Park Rd Mail Code: Uhs 18Portland, OR 97239-3098
Phone: (503) 418-5257
Fax: (503) 418-5317
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Dietitian (primary) | Taxonomy 133V00000X · Licence LD-D-10159207 (OR) |
|---|---|
| Registered Dietitian | Taxonomy 133V00000X · Licence LD003133 (GA) |
Record details
| NPI number | 1902149750 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | RDLDCSP |
| Sole proprietor | Yes |
| NPI enumerated | March 30, 2013 |
| Last updated in NPPES | December 12, 2013 |
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