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NPI 1558187716

NPI 1558187716 : SARAH A UEHARA MS, RD, LD : PORTLAND, OR

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General NPI Number Information
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    NPI Number           |    1558187716
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    Entity Type          |    Individual 
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    Provider Name        |    SARAH A UEHARA MS, RD, LD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/03/2024
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    Last Update Date     |    12/03/2024
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Provider Practice Location Address
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    Address Line         |    9135 SW BARNES RD STE 987 
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    City                 |    PORTLAND
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    State                |    OR
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    Zip                  |    97225-6699
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    Country              |    US
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    Telephone            |    808-679-7317
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    12002 SW WINDMILL DR APT 12002 
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    City                 |    BEAVERTON
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    State                |    OR
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    Zip                  |    97008-7043
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    133V00000X
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    Taxonomy Name        |    Registered Dietitian
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    License Number       |    10234289
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    License Number State |    OR
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