Provider Demographics
NPI:1750624615
Name:MCPHERSON, CATHERINE J (MS, CN)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:J
Last Name:MCPHERSON
Suffix:
Gender:F
Credentials:MS, CN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2116 CATON WAY SW STE 102
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98502-1176
Mailing Address - Country:US
Mailing Address - Phone:360-915-2151
Mailing Address - Fax:360-754-2145
Practice Address - Street 1:2116 CATON WAY SW STE 102
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98502-1176
Practice Address - Country:US
Practice Address - Phone:360-915-2151
Practice Address - Fax:360-754-2145
Is Sole Proprietor?:No
Enumeration Date:2013-03-29
Last Update Date:2013-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANU 60334795133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WANU 60334795OtherCERTIFIED NUTRITIONIST