Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Katie Dwaileebe

Individual provider Nutritionist · NPI 1760816391

Katie Dwaileebe is a Nutritionist in Vancouver, Washington. Practices as a sole proprietor and works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

205 SE Park Plaza Drive 105
Vancouver, WA 98684
Phone: (619) 787-7557
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9911 Se Mount Scott Blvd, Portland, OR 97266-6302 — (503) 258-4200

Specialties & licences

Nutritionist (primary) Taxonomy 133N00000X · Licence NU60728766 (WA)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1760816391
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 30, 2013
Last updated in NPPESMarch 17, 2018
Mailing address205 Se Park Plaza Drive, 105, Vancouver, WA 98684

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