Individual
CAROL LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
2404 SE BELMONT ST, PORTLAND, OR 97214-2821
(503) 780-6942
Mailing address
2404 SE BELMONT ST, PORTLAND, OR 97214-2821
(503) 780-6942
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-D-000442
—
Other
Enumeration date
02/14/2012
Last updated
02/14/2012
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