Individual
KATIE MARIE DANESHVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
4805 NE GLISAN ST STE 6N40, PORTLAND, OR 97213-2933
(844) 987-0491
Mailing address
201 NE NATALIE ST, HILLSBORO, OR 97124-9425
(936) 419-9254
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-D-10208387
OR
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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