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1689076796
SELENA MOFFITT
PORTLAND, OR
NPI
1689076796
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133N00000X Nutritionist
Enumeration Date
2014-09-19
Last Update Date
2014-09-19
Business Address
SELENA MOFFITT
5331 SW MACADAM AVE STE 380
PORTLAND, OR 97239-3879
Phone number: 503-894-9118
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Mailing Address
SELENA MOFFITT
12850 SE 257TH AVE
DAMASCUS, OR 97089
Phone number:
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