Most Relevant Information
Provider Data
| NPI Number: | 1003578857 |
| Provider Name: | STEPHANIE SPERRING MSCN |
| Entity Type: | Individual |
| Taxonomy Code: | 133N00000X |
| Specialty: | Nutritionist |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/08/2021 |
| Last Updated: | 10/08/2021 |
Provider Practice Location
17087 TUALATIN ST
LAKE OSWEGO
OR
970355335
Practice Location Phone/Fax
| Phone: | 5033800574 |
| Fax: |
Provider Mailing Location
17087 TUALATIN ST
LAKE OSWEGO
OR
970355335
Provider Mailing Phone/Fax
| Phone: | 5033800574 |
| Fax: |