Provider Demographics
NPI:1992898274
Name:OLDFIELD, KATHERINE MOORE (ND)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:MOORE
Last Name:OLDFIELD
Suffix:
Gender:F
Credentials:ND
Other - Prefix:DR
Other - First Name:KATHERINE
Other - Middle Name:MOORE
Other - Last Name:LOVOLL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ND
Mailing Address - Street 1:4141 CALIFORNIA AVE SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98116-4101
Mailing Address - Country:US
Mailing Address - Phone:206-938-1393
Mailing Address - Fax:206-938-5849
Practice Address - Street 1:4141 CALIFORNIA AVE SW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98116-4101
Practice Address - Country:US
Practice Address - Phone:206-938-1393
Practice Address - Fax:206-938-5849
Is Sole Proprietor?:No
Enumeration Date:2006-10-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA980175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAS58221Medicare UPIN