- Practice location
- 14175 SW 89TH Ave, Tigard, OR 97224-5972
- Phone
- 503-684-2969
- Fax
- —
- Last updated
- September 26, 2013
Kathleen Marie Decastro is a Nutritionist based in Tigard, OR. Kathleen Marie Decastro practices in Tigard, OR and has the professional credentials of DIETETIC TECHNICIAN. The NPI Number for Kathleen Marie Decastro is 1699102335. The current practice location address for Kathleen Marie Decastro is 14175 SW 89TH Ave, Tigard, OR 97224-5972 and can be reached out via phone at 503-684-2969.
Provider Profile Details
- NPI Number
- 1699102335
- Provider Name
- Kathleen Marie Decastro
- Credential
- DIETETIC TECHNICIAN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 14175 SW 89TH Ave, Tigard, OR 97224-5972
- Phone Number
- 503-684-2969
- Primary Taxonomy
- Nutritionist · 133N00000X
- Sole Proprietor
- No
- Other Names
- Mrs. Kathleen Marie Decastro, DT (Professional Name)
- Provider Enumeration Date
- September 26, 2013
- Last Update Date
- September 26, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 14175 SW 89TH Ave
Tigard, OR 97224-5972 - City
- Tigard
- State
- Oregon
- Zip
- 97224-5972
- Phone Number
- 503-684-2969
Provider Business Mailing Address Details
- Address
- 14175 SW 89TH Ave
Tigard, OR 97224-5972 - City
- Tigard
- State
- OR
- Zip
- 97224-5972
- Phone Number
- 503-684-2969
License Information
- Taxonomy
- Nutritionist · 133N00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Kathleen M Decastro, DIETETIC TECHNICIAN?
The NPI number of Mrs. Kathleen M Decastro, DIETETIC TECHNICIAN is 1699102335. It was assigned on September 26, 2013 and is currently active in the NPPES registry.
What is the specialty of Mrs. Kathleen M Decastro, DIETETIC TECHNICIAN?
Mrs. Kathleen M Decastro, DIETETIC TECHNICIAN is registered under the primary taxonomy Nutritionist (code 133N00000X).
Where does Mrs. Kathleen M Decastro, DIETETIC TECHNICIAN practice?
The practice location is 14175 SW 89TH Ave, Tigard, OR 97224-5972. The office can be reached at 503-684-2969 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1699102335 directly on the NPPES registry website.