Organization
SAGE NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL ELZINGA RD (OWNER, DIETITIAN)
(541) 452-3844
Entity
Organization
Contact information
Practice address
1220 NW KINGS BLVD, CORVALLIS, OR 97330-2521
(541) 452-3844
Mailing address
1220 NW KINGS BLVD, CORVALLIS, OR 97330-2521
(541) 452-3844
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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