Individual
KATLYN WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
2175 NW RALEIGH ST STE 110, PORTLAND, OR 97210-2392
(602) 218-5278
(844) 218-4691
Mailing address
70 S VAL VISTA DR STE A3-527, GILBERT, AZ 85296-1374
(602) 218-5278
(844) 218-4691
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-D-10226946
OR
Other
Enumeration date
01/29/2026
Last updated
01/29/2026
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