Individual
MRS. SOPHIE K SPARLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1585 LIBERTY ST SE, SALEM, OR 97302-4345
(503) 589-0565
(503) 589-0463
Mailing address
1585 LIBERTY ST SE, SALEM, OR 97302-4345
(503) 589-0565
(503) 589-0463
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124064506
EMPLOYER FACILITY NPI
OR
05
—
137534
—
OR
Enumeration date
09/16/2006
Last updated
07/09/2007
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