EILEEN MARIE SPARKS

BEAVERTON, OR
NPI1467617019
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: OR  457)
Enumeration Date2008-07-23
Last Update Date2021-12-21
Business Address
EILEEN MARIE SPARKS RD, CDE
4855 SW WESTERN AVE
BEAVERTON, OR 97005-3460
Phone number: 503-520-4853
Mailing Address
EILEEN MARIE SPARKS RD, CDE
14035 SW STEEPLECHASE CT
BEAVERTON, OR 97008-0418
Phone number: 503-521-8859