KIMBERLY GUSTAFSON

PORTLAND, OR
NPI1811007198
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
Enumeration Date2006-08-30
Last Update Date2007-07-08
Business Address
Ms. KIMBERLY GUSTAFSON RD
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239-2964
Phone number: 503-220-8262
Mailing Address
Ms. KIMBERLY GUSTAFSON RD
3220 SW PRIMROSE ST
PORTLAND, OR 97219-5315
Phone number: 503-220-8262
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