Doctor Name: | MISS TRICIA LEE SLADE |
NPI Number: | 1558554360 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | DI00002009 |
Business Practice Address: | 400 Ne Mother Joseph Pl Vancouver, WA - 986643200 |
Business Phone Number: | 3605143410 |
Business Fax Number: | |
Mailing Address: | 3405 Ne 46th Ave, PORTLAND |
State: | OR |
Postal Code: | 972131173 |
Phone Number: | 5037097421 |
Fax Number: | |
NPI Enumeration Date: | 08/24/2007 |
NPI Last Update Date: | 08/24/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DI00002009 |
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 |