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1073843579
MICHELLE TEGENKAMP
PORTLAND, OR
NPI
1073843579
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: OR 923)
Enumeration Date
2010-01-05
Last Update Date
2010-01-05
Business Address
-- MICHELLE TEGENKAMP MS, RD, LD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-3759
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Mailing Address
-- MICHELLE TEGENKAMP MS, RD, LD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-3759
Copy
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