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1164777942
TINA PATNODE
PORTLAND, OR
NPI
1164777942
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: OR LD-D-000499)
Enumeration Date
2012-07-18
Last Update Date
2019-04-10
Business Address
TINA PATNODE RD, LD
5211 NE GLISAN ST BLDG C
PORTLAND, OR 97213-3052
Phone number: 503-215-7230
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Mailing Address
TINA PATNODE RD, LD
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number:
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