Sandra Carol Vancalcar RD

NPI 1790832152 - Dietitian, Registered - 133VN1006X

NPI Details
NPI 1790832152
Gender Female
Enumeration Date 01/05/2007
Last Updated 09/25/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
840 SW GAINES ST
PORTLAND OR, 97239-2904, US
Phone (608) 712-2723
Fax
Business Location
840 SW GAINES RD.
PORTLAND OR, 97239-0001, US
Phone (608) 712-2723
Fax
Toxanomy
Taxonomy Code 133VN1006X
License State Wisconsin
License Number 1299
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According to our database, Sandra Carol Vancalcar RD NPI is 1790832152, taxonomy code is 133VN1006X and license number is 1299, license state is located at Wisconsin. Sandra Carol Vancalcar RD physically located at 840 Sw Gaines St, Portland OR, 97239-2904. NPI Number Sandra Carol Vancalcar RD has the Individual type.

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1790832152 NPI number is provided on an as is basis without warranty of any kind. 1790832152 is maintained by the National Plan & Provider Enumeration System. The contents of Sandra Carol Vancalcar RD are for informational purposes only.