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1811245608
MELANIE AILENE STAFFORD
PORTLAND, OR
NPI
1811245608
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: OR LD-D-000636)
Enumeration Date
2012-08-27
Last Update Date
2012-08-27
Business Address
-- MELANIE AILENE STAFFORD RD, LD
17727 E BURNSIDE ST
PORTLAND, OR 97233-4803
Phone number: 503-215-9800
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Mailing Address
-- MELANIE AILENE STAFFORD RD, LD
4531 SE BELMONT ST STE 100
PORTLAND, OR 97215-1675
Phone number:
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