Healthcare Provider Details

I. General information

NPI: 1578476594
Provider Name (Legal Business Name): DIANE VECCHI
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4465 CORDATA PKWY STE B
BELLINGHAM WA
98226-8037
US

IV. Provider business mailing address

1465 GRANT ST
BELLINGHAM WA
98225-4920
US

V. Phone/Fax

Practice location:
  • Phone: 360-752-5601
  • Fax: 360-752-5667
Mailing address:
  • Phone: 510-387-0607
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDIET.DI.70169504
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: