Individual
ELIZABETH ELLEN GORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, RD
Contact information
Practice address
4031 WHITMAN AVE N APT 1, SEATTLE, WA 98103-7819
(206) 434-6523
Mailing address
4031 WHITMAN AVE N APT 1, SEATTLE, WA 98103-7819
(206) 434-6523
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86105677
WA
Other
Enumeration date
12/18/2018
Last updated
12/18/2018
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