Individual
MS. AMY STACKHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, CN
Contact information
Practice address
3258 NW 56TH ST, SEATTLE, WA 98107-3325
(206) 854-0431
Mailing address
3258 NW 56TH ST, SEATTLE, WA 98107-3325
(206) 854-0431
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
61288814
WA
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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