# NORTHWEST NUTRITION CONSULTING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114656907
- **Authorized official:** REBEKAH TAGUE (OWNER)
- **Authorized official phone:** (208) 906-2208

## Contact information

- **Practice address:** 206 W IRONWOOD DR \# 1005, COEUR D ALENE, ID 83814-2640
- **Practice address phone:** (208) 719-2921
- **Mailing address:** 206 W IRONWOOD DR STE 1005, COEUR D ALENE, ID 83814-2640

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133VN1004X | Pediatric Nutrition Registered Dietitian | — | NULL | Yes |
| 133VN1004X | Pediatric Nutrition Registered Dietitian | — | — | Yes |

## Other

- **Enumeration date:** 06/07/2022
- **Last updated:** 12/10/2025