| Doctor Name: | HEATHER ANNE POWELL |
| NPI Number: | 1700270295 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BS, RD, CD |
| License Number: | 32406DI-0 |
| Business Practice Address: | 1911 Cooks Hill Rd Centralia, WA - 985319073 |
| Business Phone Number: | 3607366778 |
| Business Fax Number: | |
| Mailing Address: | 3007 Borst Ave, Apt. H9 CENTRALIA |
| State: | WA |
| Postal Code: | 985312242 |
| Phone Number: | 7025108921 |
| Fax Number: | |
| NPI Enumeration Date: | 03/24/2015 |
| NPI Last Update Date: | 06/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 32406DI-0 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NV |
| 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 |