Doctor Name: | JESSICA BETH BERGHOFF |
NPI Number: | 1700120193 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD CD |
License Number: | 1018452 |
Business Practice Address: | 10102 E 17th Ln Spokane Valley, WA - 992063427 |
Business Phone Number: | 5099392241 |
Business Fax Number: | |
Mailing Address: | 1418s Adams St, SPOKANE |
State: | WA |
Postal Code: | 992031034 |
Phone Number: | 5099392241 |
Fax Number: | |
NPI Enumeration Date: | 11/26/2012 |
NPI Last Update Date: | 08/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 1018452 |
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 |