Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUDY A. SUNDQUIST, MPH, RD
Active Sole ProprietorPediatric Nutrition · CORVALLIS, OR
Registration Details
- NPI Number
- 1538461603
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 23, 2010 (15.410877485699 yrs)
- Last Updated
- Nov 23, 2010
- Licenses
-
00413617 (CA)00413617 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7928 NW ARBORETUM ROADCORVALLIS, OR, 973309538Browse OR providers · Browse ZIP 97330
- Phone
- 5412073570
- Fax
- 5412073570
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
- Additional Specialty
- Pediatric Nutrition
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.