Individual
ELAINE SIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
17243 NW WIDGI CREEK CT, BEAVERTON, OR 97006-8147
(503) 547-4106
Mailing address
17243 NW WIDGI CREEK CT, BEAVERTON, OR 97006-8147
(503) 547-4106
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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