Organization
NORTHWEST NUTRITION CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBEKAH TAGUE (OWNER)
(208) 906-2208
Entity
Organization
Contact information
Practice address
206 W IRONWOOD DR # 1005, COEUR D ALENE, ID 83814-2640
(208) 719-2921
Mailing address
206 W IRONWOOD DR STE 1005, COEUR D ALENE, ID 83814-2640
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
06/07/2022
Last updated
12/10/2025
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