| Doctor Name: | KARA MARIE ODIAGA |
| NPI Number: | 1003109042 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD, CSR, LD |
| License Number: | 803 |
| Business Practice Address: | 703 Ne Hancock St Portland, OR - 972123955 |
| Business Phone Number: | 5034933322 |
| Business Fax Number: | 5032879434 |
| Mailing Address: | 703 Ne Hancock St, PORTLAND |
| State: | OR |
| Postal Code: | 972123955 |
| Phone Number: | 5034933322 |
| Fax Number: | |
| NPI Enumeration Date: | 05/24/2011 |
| NPI Last Update Date: | 09/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133VN1005X |
| License Number: | 803 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | Nutrition, Renal |
| Taxonomy Definition: | |