Provider Demographics
NPI:1912236647
Name:REICH, DIANE MORRIS (MS, CNC)
Entity Type:Individual
Prefix:MRS
First Name:DIANE
Middle Name:MORRIS
Last Name:REICH
Suffix:
Gender:F
Credentials:MS, CNC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:10260 SW GREENBURG RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97223-5500
Mailing Address - Country:US
Mailing Address - Phone:503-341-1075
Mailing Address - Fax:503-293-8499
Practice Address - Street 1:10260 SW GREENBURG RD
Practice Address - Street 2:SUITE 400
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97223-5500
Practice Address - Country:US
Practice Address - Phone:503-341-1075
Practice Address - Fax:503-293-8499
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-08
Last Update Date:2009-12-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education