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1043586282
JAMIE LEE
PORTLAND, OR
NPI
1043586282
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: OR 001020)
Enumeration Date
2012-03-31
Last Update Date
2012-03-31
Business Address
-- JAMIE LEE RD
0150 SW MONTGOMERY ST
PORTLAND, OR 97201-5149
Phone number: 503-451-0365
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Mailing Address
-- JAMIE LEE RD
14458 SE MOUNTAIN RIDGE AVE
HAPPY VALLEY, OR 97086-4041
Phone number:
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