Individual
KRISTIN R CLEMENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, RD
Contact information
Practice address
4455 CORDATA PKWY, BELLINGHAM, WA 98226-8037
(360) 671-3225
(360) 671-0000
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 764-3335
(206) 764-0489
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00000898
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0209527
LABOR & INDUSTRIES
WA
05
—
7406051
—
WA
Enumeration date
01/27/2007
Last updated
07/08/2007
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