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1508225392
ELLEN PORTRAIT
TIGARD, OR
NPI
1508225392
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WL0100X Registered Nurse, Lactation Consultant
(Licence: OR 082011881RN)
Enumeration Date
2016-02-22
Last Update Date
2016-02-22
Business Address
-- ELLEN PORTRAIT RN, IBCLC
7150 SW DARTMOUTH ST
TIGARD, OR 97223-7614
Phone number: 503-968-3480
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Mailing Address
-- ELLEN PORTRAIT RN, IBCLC
7150 SW DARTMOUTH ST
TIGARD, OR 97223-7614
Phone number: 503-968-3480
Copy
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