Individual
MRS. KATHERINE GAUDREAU-PROVOST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4124 BELMONT DR, HOOD RIVER, OR 97031-7705
(541) 399-3566
Mailing address
4124 BELMONT DR, HOOD RIVER, OR 97031-7705
(541) 399-3566
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/04/2012
Last updated
04/04/2012
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