Individual
MRS. SHANNON KIMBER LEE HUGHES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, MAIL CODE P5NFS, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
12585 SW 128TH AVE, TIGARD, OR 97223-1812
(503) 524-4768
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
649
OR
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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