Individual
DORI EMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
16654 NE 12TH ST, BELLEVUE, WA 98008-3714
(425) 577-3933
Mailing address
16654 NE 12TH ST, BELLEVUE, WA 98008-3714
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI 60117864
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1017123
AMERICAN DIETETIC ASSOCIATION
—
01
—
DI 60117864
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
06/21/2010
Last updated
06/21/2010
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