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1154330595
SHANNON KIMBER LEE HUGHES
PORTLAND, OR
NPI
1154330595
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: OR 649)
Enumeration Date
2006-08-05
Last Update Date
2007-07-08
Business Address
Mrs. SHANNON KIMBER LEE HUGHES RD, LD
3710 SW US VETERANS HOSPITAL RD MAIL CODE P5NFS
PORTLAND, OR 97239-2964
Phone number: 503-220-8262
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Mailing Address
Mrs. SHANNON KIMBER LEE HUGHES RD, LD
12585 SW 128TH AVE
TIGARD, OR 97223-1812
Phone number: 503-524-4768
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