Individual
KATHLEEN HAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4805 NE GLISAN ST, PORTLAND, OR 97213-2933
(503) 215-1111
Mailing address
11125 SE 21ST AVE APT 301, MILWAUKIE, OR 97222-8278
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDD10185219
OR
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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