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Individual

MR. JULIA ANNE HANFLING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, CDE

Contact information

Practice address
2800 N VANCOUVER AVE, LEGACY EMANUEL DIABETES CLINIC, SUITE 231, PORTLAND, OR 97227-1630
(503) 413-2750
(503) 413-2735
Mailing address
2229 SE MARKET ST, PORTLAND, OR 97214-4866
(503) 413-2750
(503) 413-2735

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
10208672
OR
133V00000X
Registered Dietitian
460
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
N/A
OR
Enumeration date
04/05/2006
Last updated
03/22/2023
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