Individual
SARA SUNDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCES, MS, RDN, CDN
Contact information
Practice address
2101 NE 139TH ST STE 460, VANCOUVER, WA 98686-2325
(360) 487-2727
Mailing address
PO BOX 2077, PORTLAND, OR 97208-2077
(503) 413-3900
(503) 413-3710
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DI60798424
WA
163WD0400X
Diabetes Educator Registered Nurse
Primary
DI60798424
WA
Other
Enumeration date
11/22/2019
Last updated
11/03/2023
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