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Organization · Registered Dietitian · Lake Oswego, OR

NPI
1235675604
Type
Organization (Type 2)
Primary specialty
Registered Dietitian (Dietitian, Registered)
Specialty group
Dietary & Nutritional Service Providers
Taxonomy code
133V00000X
License number
LD-D-000514 (OR)
Enumerated
2017-01-10
Last updated
2017-01-10
Practice location
155 B Ave, Ste 120
Lake Oswego, OR 97034-3148
(503) 789-9707

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