Individual
MS. CHERI LYNN BOEKENOOGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3670 STONE WAY N, SEATTLE, WA 98103-8004
(206) 834-4100
Mailing address
12320 39TH AVE SE, EVERETT, WA 98208-5600
(425) 338-7870
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00001653
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
816489
RD REGISTRATION #
WA
Enumeration date
01/30/2007
Last updated
07/08/2007
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