Provider Demographics
NPI:1619680865
Name:FEELGOODEATS NUTRITION
Entity Type:Organization
Organization Name:FEELGOODEATS NUTRITION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NUTRITIONIST
Authorized Official - Prefix:
Authorized Official - First Name:AIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SADEGHI
Authorized Official - Suffix:
Authorized Official - Credentials:CNS, CN, LD
Authorized Official - Phone:949-438-0862
Mailing Address - Street 1:3439 SE HAWTHORNE BLVD # 1122
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97214-5048
Mailing Address - Country:US
Mailing Address - Phone:949-438-0862
Mailing Address - Fax:877-920-2214
Practice Address - Street 1:3439 SE HAWTHORNE BLVD # 1122
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97214-5048
Practice Address - Country:US
Practice Address - Phone:949-438-0862
Practice Address - Fax:877-920-2214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-03
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Single Specialty