Individual
STEPHANIE KAATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(925) 351-4551
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(925) 351-4551
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/09/2015
Last updated
04/30/2018
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