Individual
ELIZABETH ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN
Contact information
Practice address
1629 N 45TH ST, SEATTLE, WA 98103-6701
(206) 633-3350
(206) 633-3113
Mailing address
PO BOX 3835, SEATTLE, WA 98124-3835
(206) 548-3114
(206) 762-6355
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
007455-1
NY
133V00000X
Registered Dietitian
Primary
DI60671409
WA
Other
Enumeration date
11/04/2013
Last updated
10/07/2016
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