| Doctor Name: | BREANNA OBERLIN |
| NPI Number: | 1245608512 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, RD, CD, CDE |
| License Number: | DI60174557 |
| Business Practice Address: | 801 Broadway 611 Seattle, WA - 981224396 |
| Business Phone Number: | 2052152440 |
| Business Fax Number: | |
| Mailing Address: | Po Box 25608, SALT LAKE CITY |
| State: | UT |
| Postal Code: | 841250608 |
| Phone Number: | 2062152440 |
| Fax Number: | |
| NPI Enumeration Date: | 09/03/2015 |
| NPI Last Update Date: | 09/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | DI60174557 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |