Individual
MRS. MICHAELA D RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CD
Contact information
Practice address
4800 SAND POINT WAY NE, M/S CHC, SEATTLE, WA 98105-3901
(425) 482-4000
(425) 482-4249
Mailing address
2525 220TH ST SE STE 200, BOTHELL, WA 98021-4440
(425) 482-4000
(425) 482-4249
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
DI00001987
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
850756
REGISTERED DIETITIAN
—
01
—
DI00001987
DIETITIAN CERTIFICATION
WA
Enumeration date
07/07/2008
Last updated
07/07/2008
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