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NPI 1386597870

NPI 1386597870 : SIANA ROSE HOFFMAN RD : WASHOUGAL, WA

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General NPI Number Information
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    NPI Number           |    1386597870
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    Entity Type          |    Individual 
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    Provider Name        |    SIANA ROSE HOFFMAN RD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/16/2026
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    Last Update Date     |    02/16/2026
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Provider Practice Location Address
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    Address Line         |    161 CANYON RIDGE RD 
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    City                 |    WASHOUGAL
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    State                |    WA
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    Zip                  |    98671-7571
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    Country              |    US
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    Telephone            |    530-559-0063
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    161 CANYON RIDGE RD 
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    City                 |    WASHOUGAL
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    State                |    WA
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    Zip                  |    98671-7571
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    Country              |    US
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    Telephone            |    530-559-0063
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    133V00000X
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    Taxonomy Name        |    Registered Dietitian
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    License Number       |    86288878
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    License Number State |    WA
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