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1184052169
MEGAN ANTOSIK
PORTLAND, OR
NPI
1184052169
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: OR 10150700)
Enumeration Date
2013-10-29
Last Update Date
2019-05-22
Business Address
MEGAN ANTOSIK MS, RD, LD
1040 NW 22ND AVE STE 520
PORTLAND, OR 97210
Phone number: 503-413-7557
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Mailing Address
MEGAN ANTOSIK MS, RD, LD
PO BOX 3808
PORTLAND, OR 97208-3808
Phone number: 503-413-3900
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