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1942737259
MEGAN DERAS GARDNER
PORTLAND, OR
NPI
1942737259
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133N00000X Nutritionist
Enumeration Date
2017-05-17
Last Update Date
2017-05-17
Business Address
MEGAN DERAS GARDNER MS, CNS
1585 SW MARLOW AVE STE 200
PORTLAND, OR 97225-5178
Phone number: 503-548-4008
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Mailing Address
MEGAN DERAS GARDNER MS, CNS
2990 SW WEST POINT AVE
PORTLAND, OR 97225-3377
Phone number: 503-515-8069
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