SANDRA CAROL VANCALCAR (NPI# 1790832152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790832152 |
| Entity Type | Individual |
| Full Name | SANDRA CAROL VANCALCAR |
| Credential | RD |
| Practice Address |
840 Sw Gaines St Portland OR 97239-2904 |
| Mailing Address |
840 Sw Gaines Rd. Portland OR 97239-0001 |
| Practice Telephone | 6087122723 |
| Mailing Telephone | 6087122723 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2014-09-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
1299 | WI | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | DIETITIAN | 710770 | 01 |
| OR | OREGON LICENSING BOARD | LDD10164644 | 01 |
| Street Address |
840 SW GAINES ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97239-2904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558779405 | Joyanna Gilmour Hansen | Dietitian, Registered | 840 Sw Gaines St, Gh214, Portland, OR 97239-2904 | 2014-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
| 1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
| 1881219657 | Desiree Baer | Licensed Vocational Nurse | Sw Us Veterans Hospital Rd, Portland, OR 97239 | 2020-06-08 |
| 1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
| 1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
| 1801448063 | Alice Huang Huang | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Road, Portland, OR 97239 | 2019-07-09 |
| 1710446273 | Ellen Noreen Kessi | Social Worker | 3710 Sw Us Veterans Rd., Portland, OR 97239 | 2019-03-14 |
| 1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
| 1275030926 | Carly Elizabeth Dougher | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 | 2018-04-10 |
| 1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
| Find all providers in zip 97239 | ||||
| Taxonomy Code | 133VN1006X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Metabolic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114453099 | Kindra L Thrasher | Dietitian, Registered | 10101 Se Main St Ste 2011, Portland, OR 97216-2457 | 2017-05-11 |
| 1124397062 | Mlb Nutrition & Wellness, LLC | Dietitian, Registered | 10101 Se Main St, Portland, OR 97216-2455 | 2011-12-21 |
| 1831388636 | Stacey Marie Lamb | Dietitian, Registered | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2007-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093013161 | Holly Rae St.lawrence | Dietitian, Registered | 566 Horn Ln, Eugene, OR 97404-2961 | 2011-03-14 |
| 1326362856 | Kiah Suzanne Sanger | Dietitian, Registered | 8495 Crater Lake Hwy, Bld 211 Un Rm 217, White City, OR 97503-3011 | 2010-03-26 |
| 1508901976 | Carrie Jean Robinson-loughran | Dietitian, Registered | 100 Madison Ave, Astoria, OR 97103-5027 | 2007-02-21 |
Please comment or provide details below to improve the information on SANDRA CAROL VANCALCAR.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.