Provider Demographics
NPI:1275147670
Name:INOUYE, KARINA ANN (RD)
Entity Type:Individual
Prefix:
First Name:KARINA
Middle Name:ANN
Last Name:INOUYE
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13804 SW ANNA CT
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97223-2114
Mailing Address - Country:US
Mailing Address - Phone:541-521-2271
Mailing Address - Fax:
Practice Address - Street 1:13804 SW ANNA CT
Practice Address - Street 2:
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223-2114
Practice Address - Country:US
Practice Address - Phone:541-521-2271
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-02
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR10206541133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty