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1770192353
JENICE A POWELL
PORTLAND, OR
NPI
1770192353
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: OR LD-D-000955)
Enumeration Date
2020-07-29
Last Update Date
2020-07-29
Business Address
JENICE A POWELL RDN
104 SE 30TH PL
PORTLAND, OR 97214-1915
Phone number: 503-880-4479
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Mailing Address
JENICE A POWELL RDN
104 SE 30TH PL
PORTLAND, OR 97214-1915
Phone number: 503-880-4479
Copy
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