Provider Demographics
NPI:1508940339
Name:MARCOTTE, KATHERINE S (RD CDE)
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:S
Last Name:MARCOTTE
Suffix:
Gender:F
Credentials:RD CDE
Other - Prefix:MS
Other - First Name:KATHERINE
Other - Middle Name:S
Other - Last Name:WHEELER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 5757
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405
Mailing Address - Country:US
Mailing Address - Phone:541-915-9237
Mailing Address - Fax:
Practice Address - Street 1:100 RIVER AVENUE
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97404
Practice Address - Country:US
Practice Address - Phone:541-607-0897
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered