Provider Demographics
NPI:1871236018
Name:GLAVAS, ZRINKA (MS)
Entity Type:Individual
Prefix:
First Name:ZRINKA
Middle Name:
Last Name:GLAVAS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2008 SW RIVER SQ
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97201-8017
Mailing Address - Country:US
Mailing Address - Phone:503-781-3606
Mailing Address - Fax:
Practice Address - Street 1:2008 SW RIVER SQ
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97201-8017
Practice Address - Country:US
Practice Address - Phone:503-781-3606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-15
Last Update Date:2022-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education