Organization
PACIFIC NUTRITION & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELANIE P MACHADO RD, CD (CEO)
(425) 776-7333
Entity
Organization
Contact information
Practice address
21827 76TH AVE W, SUITE 202, EDMONDS, WA 98026-7981
(425) 776-7333
(425) 776-8373
Mailing address
21827 76TH AVE W, SUITE 202, EDMONDS, WA 98026-7981
(425) 776-7333
(425) 776-8373
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DI00000424
WA
133V00000X
Registered Dietitian
Primary
DI00001610
WA
133V00000X
Registered Dietitian
DI00002069
WA
163W00000X
Registered Nurse
RN00124642
WA
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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