Individual
SANDRA L PAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1540 SE MARTINS ST APT H, PORTLAND, OR 97202-5374
(503) 213-0857
Mailing address
1540 SE MARTINS ST APT H, PORTLAND, OR 97202-5374
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-D-10145404
OR
Other
Enumeration date
10/29/2011
Last updated
10/29/2011
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