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1467617019
EILEEN MARIE SPARKS
BEAVERTON, OR
NPI
1467617019
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: OR 457)
Enumeration Date
2008-07-23
Last Update Date
2021-12-21
Business Address
EILEEN MARIE SPARKS RD, CDE
4855 SW WESTERN AVE
BEAVERTON, OR 97005-3460
Phone number: 503-520-4853
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Mailing Address
EILEEN MARIE SPARKS RD, CDE
14035 SW STEEPLECHASE CT
BEAVERTON, OR 97008-0418
Phone number: 503-521-8859
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