Individual
MRS. SONYA ELIZABETH KAUFFMAN-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD, CDE
Contact information
Practice address
5211 NE GLISAN ST., PORTLAND, OR 97213
(503) 215-6628
(503) 216-9650
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
477
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500725959
—
OR
Enumeration date
10/03/2006
Last updated
08/04/2017
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