Individual
BAYLEE FLIEG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
700 NE 87TH AVE, VANCOUVER, WA 98664-4896
(360) 882-2778
Mailing address
PO BOX 4825, PORTLAND, OR 97208-4825
(360) 882-2778
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
2020042392
MO
133V00000X
Registered Dietitian
Primary
DI61230198
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2256265
—
WA
Enumeration date
03/21/2021
Last updated
09/06/2023
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