Doctor Name: | KATHERINE SPANN |
NPI Number: | 1508284472 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, RDN, LD, CDE |
License Number: | 805359 |
Business Practice Address: | 890 Oak St Se Bldg D Salem, OR - 973013905 |
Business Phone Number: | 5035616990 |
Business Fax Number: | 5038142599 |
Mailing Address: | 890 Oak St Se Bldg D, SALEM |
State: | OR |
Postal Code: | 973013905 |
Phone Number: | 5035616990 |
Fax Number: | 5038142599 |
NPI Enumeration Date: | 03/28/2014 |
NPI Last Update Date: | 03/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 805359 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |