Individual
SHEILA LANDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NTP
Contact information
Practice address
11105 SW TANAGER TER, BEAVERTON, OR 97007-8338
(503) 799-3450
(971) 228-0311
Mailing address
11105 SW TANAGER TER, BEAVERTON, OR 97007-8338
(503) 799-3450
(971) 228-0311
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
001165
OR
Other
Enumeration date
03/05/2012
Last updated
03/05/2012
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