Individual
JORDAN LEE BIERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1101 MADISON ST STE 800, SEATTLE, WA 98104-1307
(206) 215-2700
(206) 215-2702
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI61160753
WA
133VN1004X
Pediatric Nutrition Registered Dietitian
DI61160753
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08695
DIETITIAN LICENSE
OH
01
—
86113215
COMMISSION ON DIETETIC REGISTRATION
—
Enumeration date
05/27/2021
Last updated
08/09/2021
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