CAROL LANGE

PORTLAND, OR
NPI1649543109
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence:   LD-D-000442)
Enumeration Date2012-02-14
Last Update Date2012-02-14
Business Address
-- CAROL LANGE R.D.
2404 SE BELMONT ST
PORTLAND, OR 97214-2821
Phone number: 503-780-6942
Mailing Address
-- CAROL LANGE R.D.
2404 SE BELMONT ST
PORTLAND, OR 97214-2821
Phone number: 503-780-6942