Shannon Rae Mallory Hertzog BS, MS

  • NPI 1124602560
According to our database, the NPI number for Shannon Rae Mallory Hertzog BS, MS is 1124602560 and activated since 2 years ago. Shannon Rae Mallory Hertzog BS, MS is an individual provider who specializes in Dietitian, Registered, and the primary practice location is 2005 W Main St Ste 130, Battle Ground, WA 98604. You can also contact Shannon Rae Mallory Hertzog BS, MS via telephone number is (360) 882-2778. Provider NPI information was last updated on 05/11/2021.

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Overview of Shannon Rae Mallory Hertzog BS, MS

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 05/11/2021
  • Last updated: 05/11/2021

Primary Scrop of Practice

  • Taxonomy Code: 133V00000X
  • Specialty: Dietitian, Registered
  • License Number: DI61176521
  • License State: WA

Provider Mailing Address

  • Address: 700 Ne 87th Ave
    Vancouver, WA 98664
  • Phone: 360-882-2778
  • Fax:

Provider Practice Location

  • Address: 2005 W Main St Ste 130
    Battle Ground, WA 98604
  • Phone: 360-882-2778
  • Fax: 360-604-1785

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Shannon Rae Mallory Hertzog BS, MS?
  • A: The npi number for Shannon Rae Mallory Hertzog BS, MS is 1124602560.
  • Q: What are Shannon Rae Mallory Hertzog BS, MS's specialties?
  • A: Shannon Rae Mallory Hertzog BS, MS's specialties are Dietitian, Registered and different specialities.
  • Q: What is the medical license for Shannon Rae Mallory Hertzog BS, MS?
  • A: The medical license number for Shannon Rae Mallory Hertzog BS, MS is DI61176521 and issued in WA in USA.
  • Q: Where is Shannon Rae Mallory Hertzog BS, MS practice location?
  • A: Shannon Rae Mallory Hertzog BS, MS is practicing at 2005 W Main St Ste 130, Battle Ground, WA 98604.
  • Q: How to contact Shannon Rae Mallory Hertzog BS, MS?
  • A: You can contact Shannon Rae Mallory Hertzog BS, MS via 360-882-2778.
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