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NPI Code Detail

MEDICARE: MRS. AMANDA E. CASH R.D.

MEDICARE:  MRS. AMANDA E. CASH  R.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator
2133V00000XRegistered DietitianDI00001171WA

General Provider Information

NPI Number : 1003005919
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMANDA E. CASH R.D.
Provider Business Mailing Address
First Line : 116 S ENNIS ST
Second Line :
City : PORT ANGELES
State : WA
Zip : 98362-4635
Country : US
Telephone Number : 360-504-1136
Fax Number :
Provider Business Practice Location Address
First Line : 116 S ENNIS ST
Second Line :
City : PORT ANGELES
State : WA
Zip : 98362-4635
Country : US
Telephone Number : 360-504-1136
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2007
Last Update Date : 07/16/2020

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Directions to “ MRS. AMANDA E. CASH R.D.” Practice Location

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