Provider Demographics
NPI:1861682932
Name:WIGGIN, KATHERINE E (ND)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:E
Last Name:WIGGIN
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 1:315 E EVERGREEN BLVD
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98660-3291
Mailing Address - Country:US
Mailing Address - Phone:503-449-1167
Mailing Address - Fax:888-647-6509
Practice Address - Street 1:315 E EVERGREEN BLVD
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98660-3291
Practice Address - Country:US
Practice Address - Phone:503-449-1167
Practice Address - Fax:888-647-6509
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-25
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1440175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath