Kristen Lastofka
Dietitian, Registered in Portland, OR. Individual provider (NPI-1).
NPI number1245995000
StatusActive
Last updated in NPPESNov 5, 2021
Details
- NPI
- 1245995000
- Entity type
- Individual (NPI-1)
- Name
- Kristen Lastofka
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 5, 2021
- Certification date
- Nov 5, 2021
- Last updated
- Nov 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
Practice location
3710 Sw Us Veterans Hospital RdPortland, OR 97239-2964
Phone 650-922-1977
Mailing address
2615 S Water Ave Apt 408Portland, OR 97201-4842
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