NPI 1356932214

Katia Rose Dergham, CGC

Practitioner Genetic Counselor (M.S.) Renton, WA

Practice location

Address: 4033 Talbot Rd S STE 470, Renton, WA 98055-5700
Phone: (425) 690-3677
Fax: (425) 690-9677
Mailing address: 3600 Lind Ave SW Suite 100 Attn Credentialing, Renton, WA 98057-4970

Registered specialties (2)

Genetic Counselor (M.S.) Primary

Other Service Providers Taxonomy 170300000X Licence GT61166257 (WA)

Other Genetic Counselor, MS providers in Washington →

Genetic Counselor (M.S.)

Other Service Providers Taxonomy 170300000X

Registry record

NPI: 1356932214
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Feb 2021
Record last updated: 17 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.