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1396888020
MARLIESE DIANNE WHITE
PORTLAND, OR
NPI
1396888020
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: OR 783)
Enumeration Date
2007-02-14
Last Update Date
2007-07-08
Business Address
MRS. MARLIESE DIANNE WHITE RD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-6560
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Mailing Address
MRS. MARLIESE DIANNE WHITE RD
19496 OLSON AVE
LAKE OSWEGO, OR 97034-7465
Phone number: 503-638-7805
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