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1245337021
DIANE K. SMITH
PORTLAND, OR
NPI
1245337021
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: OR 476)
Enumeration Date
2006-09-20
Last Update Date
2007-07-08
Business Address
DIANE K. SMITH RD
707 SW GAINES ST
PORTLAND, OR 97239-2901
Phone number: 800-452-3563
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Mailing Address
DIANE K. SMITH RD
PO BOX 69024 1024 SE REX
PORTLAND, OR 97239-0024
Phone number:
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