Individual
MRS. TAIGA B SUDAKIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
310 NW 5TH ST, STE107, CORVALLIS, OR 97330-4842
(541) 753-6555
Mailing address
310 NW 5TH ST, STE107, CORVALLIS, OR 97330-4842
(541) 753-6555
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
414
OR
Other
Enumeration date
10/14/2005
Last updated
07/08/2007
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