Individual
LAURA E VANDERSTARRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
6100 NE FOURTH PLAIN BLVD, VANCOUVER, WA 98661-6830
(360) 947-2550
(360) 947-2533
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
DI61435636
—
133V00000X
Registered Dietitian
Primary
DI61435636
WA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2256847
—
WA
Enumeration date
04/27/2023
Last updated
02/03/2025
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