Healthcare Provider Details

I. General information

NPI: 1225508369
Provider Name (Legal Business Name): VALERIA HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2018
Last Update Date: 09/10/2024
Certification Date: 09/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 NW LOVEJOY ST STE 300
PORTLAND OR
97210-2864
US

IV. Provider business mailing address

PO BOX 91
WILSONVILLE OR
97070-0091
US

V. Phone/Fax

Practice location:
  • Phone: 503-847-9952
  • Fax:
Mailing address:
  • Phone: 503-847-9952
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: VALERIA RECH
Title or Position: OWNER
Credential:
Phone: 503-840-0671