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1023366770
SHANNON THORUM
PORTLAND, OR
NPI
1023366770
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133VN1004X Dietitian, Registered Nutrition, Pediatric
(Licence: OR LDD10144588)
Enumeration Date
2012-08-28
Last Update Date
2012-08-28
Business Address
SHANNON THORUM MS, RD, LD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-418-5257
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Mailing Address
SHANNON THORUM MS, RD, LD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-418-5257
Copy
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