MEDICARE: MS. KATHRYN FRANCIS RDN

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
1	133V00000X	Registered Dietitian	LDD10166244	OR

General Provider Information

NPI Number	:	1962870550
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KATHRYN FRANCIS RDN

Provider Business Mailing Address
First Line	:	9403 N CHARLESTON AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97203-2205
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9403 N CHARLESTON AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97203-2205
Country	:	US
Telephone Number	:	971-645-3609
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2015
Last Update Date	:	09/13/2015

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