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1881359792
ALYSSA COLLEEN GORMALY
PORTLAND, OR
NPI
1881359792
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: OR 10208663)
Enumeration Date
2021-11-04
Last Update Date
2023-04-11
Business Address
ALYSSA COLLEEN GORMALY RD
2801 N GANTENBEIN AVE
PORTLAND, OR 97227-1623
Phone number: 503-413-3926
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Mailing Address
ALYSSA COLLEEN GORMALY RD
2801 N GANTENBEIN AVE
PORTLAND, OR 97227-1623
Phone number: 503-413-3111
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