Individual
PATRICIA A. FAHLSTROM-NOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
901 E 18TH AVE, EUGENE, OR 97403-1354
(541) 346-3575
Mailing address
2423 OTTO ST, SPRINGFIELD, OR 97477-6720
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
731
OR
Other
Enumeration date
07/23/2006
Last updated
07/08/2007
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