Individual
PAULA ANN DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6729
Mailing address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI60276964
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0293651
DEPT OF LABOR & INDUSTRY
WA
05
—
1295031755
—
WA
Enumeration date
02/01/2011
Last updated
10/29/2012
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