| Sage Nutrition, Llc | |
|
1220 Nw Kings Blvd Corvallis OR 97330-2521 | |
| (541) 452-3844 | |
| Not Available |
| Full Name | Sage Nutrition, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1220 Nw Kings Blvd, Corvallis, Oregon |
| Authorized Official Name and Position | Rachel Elzinga (OWNER, DIETITIAN) |
| Authorized Official Contact | 5414523844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sage Nutrition, Llc 1220 Nw Kings Blvd Corvallis OR 97330-2521 Ph: (541) 452-3844 | Sage Nutrition, Llc 1220 Nw Kings Blvd Corvallis OR 97330-2521 Ph: (541) 452-3844 |
| NPI Number | 1851923098 |
|---|---|
| Provider Enumeration Date | 02/05/2020 |
| Last Update Date | 02/05/2020 |
| Certification Date | 02/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851923098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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