SANDRA CAROL VANCALCAR

PORTLAND, OR
NPI1790832152
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133VN1006X Dietitian, Registered Nutrition, Metabolic
(Licence: WI  1299)
Enumeration Date2007-01-05
Last Update Date2014-09-25
Business Address
SANDRA CAROL VANCALCAR RD
840 SW GAINES ST
PORTLAND, OR 97239-2904
Phone number: 608-712-2723
Mailing Address
SANDRA CAROL VANCALCAR RD
840 SW GAINES RD.
PORTLAND, OR 97239-0001
Phone number: 608-712-2723