Most Relevant Information
Provider Data
| NPI Number: | 1003698192 |
| Provider Name: | JENNIFER CHRISTINE KAINANI CHING RD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | DI61497146 |
Most Important Dates
| Enumeration Date: | 10/16/2023 |
| Last Updated: | 11/16/2023 |
Provider Practice Location
3530 SE 88TH AVE
PORTLAND
OR
972662396
Practice Location Phone/Fax
| Phone: | 5037724335 |
| Fax: | 5037724337 |
Provider Mailing Location
3530 SE 88TH AVE
PORTLAND
OR
972662396
Provider Mailing Phone/Fax
| Phone: | 5037724335 |
| Fax: | 5037724337 |