Provider Demographics
NPI:1114186046
Name:DAHLGREN, KATHERINE RITA (ND)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:RITA
Last Name:DAHLGREN
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18106 140TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:WOODINVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98072-4312
Mailing Address - Country:US
Mailing Address - Phone:425-402-4401
Mailing Address - Fax:877-524-1097
Practice Address - Street 1:18106 140TH AVE NE
Practice Address - Street 2:
Practice Address - City:WOODINVILLE
Practice Address - State:WA
Practice Address - Zip Code:98072-4312
Practice Address - Country:US
Practice Address - Phone:425-402-4401
Practice Address - Fax:877-524-1097
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00001623175F00000X
WANT1623175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath