Individual
KATRINA LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CDCES
Contact information
Practice address
2886 FIR CT, SWEET HOME, OR 97386-2979
(541) 561-5452
Mailing address
2886 FIR CT, SWEET HOME, OR 97386-2979
(541) 561-5452
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
10161831
OR
Other
Enumeration date
05/12/2014
Last updated
03/01/2021
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