Sandra Carol Vancalcar in Portland - Nutrition, Metabolic
Sandra Carol Vancalcar - NPI 1790832152
Sandra Carol Vancalcar is a Nutrition, Metabolic in Portland, Oregon. Sandra Carol Vancalcar practices all healthcare services and medical treatments related to Nutrition, Metabolic. The NPI Number for Sandra Carol Vancalcar is 1790832152. The last update date is 2014-09-25.
Sandra Carol Vancalcar's current location address is 840 Sw Gaines Rd., Portland, Oregon. You can contact this provider via phone number 6087122723. The mailing address for Sandra Carol Vancalcar is 840 Sw Gaines Rd., Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sandra Carol Vancalcar |
|---|---|
| Address | 840 Sw Gaines Rd., Portland, Oregon |
| Phone Number | 6087122723 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | RD |
NPI Number Detail
| NPI Number | 1790832152 |
|---|---|
| Provider Enumeration Date | 2007-01-05 |
| Last Updated Date | 2014-09-25 |
Provider Mailing Address Detail
| Address | 840 Sw Gaines Rd. |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972390001 |
| Phone Number | 6087122723 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition, Metabolic |
|---|---|
| Taxonomy | 133Vn1006X |
| Licence No | 1299 |
|
Definition: A dietitian who specializes in metabolic and nutritional disorders. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 710770 | WI | DIETITIAN | |
| LDD10164644 | OR | OREGON LICENSING BOARD |
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What is the Sandra Carol Vancalcar's unique identification number?
The Sandra Carol Vancalcar has been assigned the NPI (National Provider Identifier) Number 1790832152 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Sandra Carol Vancalcar's physical address?
The Sandra Carol Vancalcar is physically located at 840 Sw Gaines Rd., in the city of Portland, OR, with the postal code 972390001.
What is Sandra Carol Vancalcar's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Sandra Carol Vancalcar's specialized field of practice is Nutrition, Metabolic, and the corresponding taxonomy code that categorizes this area of specialization is 133Vn1006X.
When did the Sandra Carol Vancalcar receive its 1790832152?
The Sandra Carol Vancalcar was issued its 1790832152 on 2007-01-05, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Sandra Carol Vancalcar most recently updated or revised?
The information pertaining to Sandra Carol Vancalcar, including its address, specialty, and other relevant details, was last updated or revised on 2014-09-25.