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1891761086
MELISSA DAWN JACOBSON
PORTLAND, OR
NPI
1891761086
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: OR 602)
Enumeration Date
2006-02-27
Last Update Date
2008-12-19
Business Address
Ms. MELISSA DAWN JACOBSON RD, CDE
1130 NW 22ND AVE SUITE LL10
PORTLAND, OR 97210-2900
Phone number: 503-413-7227
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Mailing Address
Ms. MELISSA DAWN JACOBSON RD, CDE
8036 SE 28TH AVE
PORTLAND, OR 97202-8950
Phone number: 503-774-7940
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