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1053855460
GRACE GEORGE
PORTLAND, OR
NPI
1053855460
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: WA DI60715098)
Enumeration Date
2016-12-05
Last Update Date
2018-11-06
Business Address
GRACE GEORGE MS, RD
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239-2964
Phone number: 503-220-8262
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Mailing Address
GRACE GEORGE MS, RD
10430 SW 55TH AVE
PORTLAND, OR 97219-5850
Phone number: 425-629-9378
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