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NPI Code Detail

MEDICARE: KATHERINE POND

MEDICARE: KATHERINE POND
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered DietitianDIET.DI.61489515WA

General Provider Information

NPI Number : 1245006592
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE POND
Provider Business Mailing Address
First Line : 450 NW GILMAN BLVD STE 201
Second Line :
City : ISSAQUAH
State : WA
Zip : 98027-2722
Country : US
Telephone Number : 425-835-2503
Fax Number : 425-285-5437
Provider Business Practice Location Address
First Line : 450 NW GILMAN BLVD STE 201
Second Line :
City : ISSAQUAH
State : WA
Zip : 98027-2722
Country : US
Telephone Number : 425-835-2503
Fax Number : 425-285-5437
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2023
Last Update Date : 04/20/2026

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Directions to “ KATHERINE POND ” Practice Location

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