Individual
SARAH MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3181 S.W. SAM JACKSON PARK RD., MAIL CODE: CR110, PORTLAND, OR 97239-3098
(503) 418-1593
Mailing address
3181 S.W. SAM JACKSON PARK RD., MAIL CODE: CR110, PORTLAND, OR 97239-3098
(503) 418-1593
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
961
OR
Other
Enumeration date
03/18/2010
Last updated
03/18/2010
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