Individual
MS. MARY JEANNE MCMILLAN-OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., C.D.E
Contact information
Practice address
2000 HOSPITAL DR, SEDRO WOOLLEY, WA 98284-4327
(360) 856-7339
Mailing address
20382 CHRISTIE PL, BURLINGTON, WA 98233-4731
(360) 757-4166
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8381030
—
WA
Enumeration date
05/22/2007
Last updated
11/14/2011
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