Individual
KATHERINE CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1040 NW 22ND AVE, PORTLAND, OR 97210-3057
(503) 413-7557
Mailing address
PO BOX 3808, PORTLAND, OR 97208-3808
(503) 413-7557
(503) 413-6547
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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