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Sandra Carol Vancalcar, RD
Metabolic Nutrition Registered Dietitian in Portland, Oregon
NPI 1790832152

Sandra Carol Vancalcar is a Metabolic Nutrition Registered Dietitian based in Portland, OR and is specialized in Nutrition, Metabolic. Sandra Carol Vancalcar practices in Portland, OR and has the professional credentials of RD. The NPI Number for Sandra Carol Vancalcar is 1790832152 and holds a License No. 1299 (Oregon).

The current practice location address for Sandra Carol Vancalcar is 840 Sw Gaines St, Portland, OR and can be reached out via phone at 608-712-2723. You can also correspond with Sandra Carol Vancalcar through the mailing address at 840 SW GAINES RD., PORTLAND, OR - 97239-0001 (mailing address contact number: 608-712-2723).

Location: 840 Sw Gaines St, Portland, OR, 97239-0001
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Provider Profile Details
NPI Number
1790832152
Provider Name
Sandra Carol Vancalcar
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
840 Sw Gaines St, Portland, OR, 97239-0001
Phone Number
608-712-2723
Fax Number
Provider Enumeration Date
01/05/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
710770 01 WI DIETITIAN
LDD10164644 01 OR OREGON LICENSING BOARD
institution
Provider Business Practice Location Address Details
Address
840 Sw Gaines St
City
State
Zip
97239-2904
Phone Number
608-712-2723
Fax Number
person
Provider Business Mailing Address Details
Address
840 Sw Gaines Rd.
City
State
Zip
97239-0001
Phone Number
608-712-2723
Fax Number
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
Nutrition, Metabolic
Taxonomy
License No.
1299 (Wisconsin)
Definition
Definition to come...
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