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1801616479
MADISON SHAFFER
PORTLAND, OR
NPI
1801616479
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: OR 86277328)
Enumeration Date
2024-10-16
Last Update Date
2024-10-16
Business Address
MADISON SHAFFER RD, LD
2801 N GANTENBEIN AVE
PORTLAND, OR 97227-1623
Phone number: 503-276-6500
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Mailing Address
MADISON SHAFFER RD, LD
707 SE 16TH AVE
PORTLAND, OR 97214-2617
Phone number: 503-522-3948
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