Individual
SALLY JANE YOUNGSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD, CSO
Contact information
Practice address
10180 SE SUNNYSIDE RD, NUTRITION SERVICES, CLACKAMAS, OR 97015-8970
(503) 571-4870
Mailing address
10180 SE SUNNYSIDE RD, NUTRITION SERVICES, CLACKAMAS, OR 97015-8970
(503) 571-4870
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
613
OR
Other
Enumeration date
06/10/2009
Last updated
12/21/2021
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