Provider Demographics
NPI:1326524711
Name:SLOANE, CAITLIN (RDN, MS)
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:
Last Name:SLOANE
Suffix:
Gender:F
Credentials:RDN, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1732 N JARRETT ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97217-4622
Mailing Address - Country:US
Mailing Address - Phone:206-484-5303
Mailing Address - Fax:
Practice Address - Street 1:1732 N JARRETT ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97217-4622
Practice Address - Country:US
Practice Address - Phone:206-484-5303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-18
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA86085962133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered