Individual
KATIE RENEE FORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CNSC
Contact information
Practice address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
(206) 277-1143
Mailing address
105 WARREN AVE N APT 311, SEATTLE, WA 98109-5098
Taxonomy
Speciality
Code
Description
License number
State
133VN1301X
Oncology Nutrition Registered Dietitian
Primary
4637
MA
Other
Enumeration date
05/26/2020
Last updated
05/26/2020
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