Individual
SUSAN GANGLER LANDGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
15950 SW MILLIKAN WAY, BEAVERTON, OR 97006
(503) 646-0161
Mailing address
15950 SW MILLIKAN WAY, BEAVERTON, OR 97006
(503) 646-0161
(503) 221-4451
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
679581
OR
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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