| Organization Name: | OPTIMAL NUTRITION |
| NPI Number: | 1386033488 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANNA K REUTOV (DIETITIAN NUTRITIONAL THERAPIST) |
| Mailing Address: | 731 Kalugin Ct Molalla |
| State: | OR US |
| Postal Code: | 970388815 |
| Phone Number: | 5037062696 |
| Fax Number: | 8663447774 |
| NPI Enumeration Date: | 01/13/2015 |
| NPI Last Update Date: | 01/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 107678997 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OR |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |