Individual
KRISTEN LASTOFKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(650) 922-1977
Mailing address
2615 S WATER AVE APT 408, PORTLAND, OR 97201-4842
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/05/2021
Last updated
11/05/2021
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