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Individual

MRS. MARY KATHLEEN HEID

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDN

Contact information

Practice address
505 NE 87TH AVE STE 460, VANCOUVER, WA 98664-1965
(360) 514-2470
(360) 514-7624
Mailing address
12013 NW 14TH AVE, VANCOUVER, WA 98685-2404
(360) 609-2859

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI61030935
WA
133V00000X
Registered Dietitian
LD-D-10205376
OR

Other

Enumeration date
01/14/2020
Last updated
11/06/2025
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