Individual
KATI N COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CSG, LD
Contact information
Practice address
4531 SE BELMONT ST.,, STE 100, PORTLAND, OR 97215-1675
(971) 279-9636
Mailing address
4531 SE BELMONT ST.,, STE 100, PORTLAND, OR 97215-1675
(503) 215-9937
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
10150075
OR
Other
Enumeration date
09/05/2012
Last updated
11/21/2016
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