Individual
BETHANY CHAPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4414 JOHN LUHR RD NE, OLYMPIA, WA 98516-2323
(425) 260-7943
Mailing address
266 MISSOURI AVE S, SALEM, OR 97302-4564
(425) 260-7943
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI61140647
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1086145
COMMISSION ON DIETETIC REGISTRATION
—
Enumeration date
03/25/2020
Last updated
03/27/2024
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