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1447747951
KATHERINE A BAGWELL
PORTLAND, OR
NPI
1447747951
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: OR 000981)
Enumeration Date
2018-04-19
Last Update Date
2018-04-19
Business Address
KATHERINE A BAGWELL RD, CSO, LD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-418-9731
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Mailing Address
KATHERINE A BAGWELL RD, CSO, LD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number:
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