Individual
MS. SARAH BETH WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4422 NE DEVILS LAKE BLVD, LINCOLN CITY, OR 97367-5000
(541) 265-4196
(541) 994-1882
Mailing address
5045 N HIGHWAY 101, DEPOE BAY, OR 97341-9776
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
RD10887365
OR
Other
Enumeration date
11/06/2017
Last updated
03/17/2018
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