Individual
MRS. KATHLEEN TERESA PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1717 OLYMPIA WAY STE 206, LONGVIEW, WA 98632-3929
(360) 423-7740
(360) 423-7894
Mailing address
1057 12TH AVE, LONGVIEW, WA 98632-2509
(360) 423-7740
(360) 423-7894
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI60919282
WA
171M00000X
Case Manager/Care Coordinator
DI60919282
WA
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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