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1073701058
TAMMY LEE RUSSELL
PORTLAND, OR
NPI
1073701058
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: OR 833)
Enumeration Date
2007-10-04
Last Update Date
2019-10-16
Business Address
Mrs. TAMMY LEE RUSSELL RDN
1820 SW VERMONT ST STE F
PORTLAND, OR 97219-1945
Phone number: 503-313-6778
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Mailing Address
Mrs. TAMMY LEE RUSSELL RDN
1820 SW VERMONT ST STE F
PORTLAND, OR 97219-1945
Phone number: 503-313-6778
Copy
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