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1093857229
CHRISTINA DOHERTY
PORTLAND, OR
NPI
1093857229
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: OR 787)
Enumeration Date
2007-02-13
Last Update Date
2007-07-16
Business Address
-- CHRISTINA DOHERTY RD, LD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-6160
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Mailing Address
-- CHRISTINA DOHERTY RD, LD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-6160
Copy
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