NPI 1538753157

Caitlin Darlene Moore

Practitioner Nutritionist Vancouver, WA

Practice location

Address: 16821 SE McGillivray Blvd, Vancouver, WA 98683-0499
Phone: (360) 207-0651

Registered specialties

Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133N00000X Licence NU60920869 (WA)

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Registry record

NPI: 1538753157
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Feb 2021
Record last updated: 24 Feb 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.