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1427632884
GI NUTRITION NW, LLC
BEAVERTON, OR
NPI
1427632884
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Entity Type
Organization
Authorized Contact
TINA PATNODE
Owner
971-238-2369
Organization Subpart ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
Enumeration Date
2021-05-11
Last Update Date
2021-05-11
Business Address
GI NUTRITION NW, LLC
4145 SW WATSON AVE STE 350
BEAVERTON, OR 97005-2191
Phone number: 971-238-2369
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Mailing Address
GI NUTRITION NW, LLC
8530 SW 147TH TER UNIT 101
BEAVERTON, OR 97007-6978
Phone number: 503-319-8449
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