Provider Demographics
NPI:1679119374
Name:ROBINSON, CAITLIN (MPH, RD, CD)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:MPH, RD, CD
Other - Prefix:
Other - First Name:CAITY
Other - Middle Name:
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MPH, RD, CD
Mailing Address - Street 1:1155 N STATE ST STE 521
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-5045
Mailing Address - Country:US
Mailing Address - Phone:360-320-6789
Mailing Address - Fax:
Practice Address - Street 1:1155 N STATE ST STE 521
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-5045
Practice Address - Country:US
Practice Address - Phone:360-320-6789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-18
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered