Individual
SUSAN P. GADAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CD
Contact information
Practice address
1120 112TH AVE NE, SUITE 150, BELLEVUE, WA 98004-4500
(425) 688-5437
(425) 688-5710
Mailing address
1120 112TH AVE NE, SUITE 150, BELLEVUE, WA 98004-4500
(425) 688-5437
(425) 688-5710
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI 00000179
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DI 00000179
WASHINGTON STATE DOH CERTIFICATION
WA
Enumeration date
03/30/2009
Last updated
03/30/2009
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