ASHLEY L LARA

PORTLAND, OR
NPI1700048675
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: OR  854)
Enumeration Date2008-07-01
Last Update Date2008-07-01
Business Address
-- ASHLEY L LARA
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-4578
Mailing Address
-- ASHLEY L LARA
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-4578
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