Healthcare Provider Details

I. General information

NPI: 1285046292
Provider Name (Legal Business Name): DANDELION NUTRITION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2014
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8301B 5TH AVE NE
SEATTLE WA
98115-4118
US

IV. Provider business mailing address

8301B 5TH AVE NE
SEATTLE WA
98115-4118
US

V. Phone/Fax

Practice location:
  • Phone: 206-799-7010
  • Fax: 206-866-0204
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDI60202010
License Number StateWA

VIII. Authorized Official

Name: MARLENE J HILLYER
Title or Position: CLINICAL DIRECTOR
Credential: RDN, CD, CSP, CLT
Phone: 206-588-5012