Individual
SOFIA SANCHEZ PORUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8636
(503) 494-3769
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8636
(503) 494-3769
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
86090910
WA
133V00000X
Registered Dietitian
Primary
LDD10217548
OR
Other
Enumeration date
06/15/2020
Last updated
11/30/2021
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