Individual
MRS. DONNA JEAN OBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
2124 4TH AVE, SEATTLE, WA 98121-2308
(206) 296-4589
(206) 296-4679
Mailing address
14111 148TH PL SE, RENTON, WA 98059-7324
(206) 296-4589
(206) 296-4679
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00001182
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8270175
—
WA
Enumeration date
11/30/2006
Last updated
07/08/2007
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