Provider Demographics
NPI:1679205603
Name:OLSEN, KATHARINE SHERRARD TAYLOR (RDN, CDR, MS)
Entity type:Individual
Prefix:
First Name:KATHARINE
Middle Name:SHERRARD TAYLOR
Last Name:OLSEN
Suffix:
Gender:F
Credentials:RDN, CDR, MS
Other - Prefix:
Other - First Name:KATHARINE
Other - Middle Name:SHERRARD
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:PO BOX 25608
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84125-0608
Mailing Address - Country:US
Mailing Address - Phone:206-320-4476
Mailing Address - Fax:206-568-7043
Practice Address - Street 1:1124 COLUMBIA ST STE 400
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-2053
Practice Address - Country:US
Practice Address - Phone:206-215-2440
Practice Address - Fax:206-215-2457
Is Sole Proprietor?:No
Enumeration Date:2022-06-28
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADI61335594133V00000X, 133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered