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1962701565
PAMELA JEAN KELLY HASKELL
PORTLAND, OR
NPI
1962701565
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133VN1004X Dietitian, Registered, Nutrition, Pediatric
(Licence: OR 1019)
Enumeration Date
2011-03-22
Last Update Date
2011-03-22
Business Address
-- PAMELA JEAN KELLY HASKELL RD, LD
3181 SW SAM JACKSON PARK RD OHSU - UHS 18
PORTLAND, OR 97239-3011
Phone number: 503-418-5257
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Mailing Address
-- PAMELA JEAN KELLY HASKELL RD, LD
3181 SW SAM JACKSON PARK RD OHSU - UHS 18
PORTLAND, OR 97239-3011
Phone number: 503-418-5257
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