IndividualActive
Kathleen Decastro, DIETETIC TECHNICIAN
NPI 1699102335 · Nutritionist · Tigard, OR
Provider details
- NPI number
- 1699102335
- Entity type
- Individual
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Credential
- DIETETIC TECHNICIAN
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
14175 Sw 89th Ave
Tigard, OR 97224-5972
Phone: (503) 684-2969
Approximate (ZIP-level) locationGet directions
Mailing address
14175 Sw 89th Ave
Tigard, OR 97224-5972
Registry dates
- Enumerated
- 2013-09-26
- Last updated
- 2013-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.