Individual
MS. SARAH TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
10690 NE CORNELL RD STE 215, HILLSBORO, OR 97124-9224
(503) 216-5240
Mailing address
4531 SE BELMONT ST STE 100, PORTLAND, OR 97215-1675
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/31/2019
Last updated
05/31/2019
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