Individual
SARAH VIRGINIA LOWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3101 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3095
(971) 282-4610
Mailing address
3101 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3095
(971) 282-4610
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LD-D-001052
OREGON HEALTH LICENSING BOARD OF LICENSED DIETITIANS
OR
Enumeration date
10/31/2019
Last updated
10/31/2019
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