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NPI Code Detail

MEDICARE: RILEY SMITH RDN

MEDICARE: RILEY SMITH RDN
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
1133V00000XRegistered DietitianDI61325190WA

General Provider Information

NPI Number : 1508570144
Entity Type Code : Individual
Provider Name (Legal Business Name) : RILEY SMITH RDN
Provider Business Mailing Address
First Line : 20908 188TH AVE SE
Second Line :
City : RENTON
State : WA
Zip : 98058-0556
Country : US
Telephone Number : 561-926-2352
Fax Number :
Provider Business Practice Location Address
First Line : 1314 AUBURN WAY N
Second Line :
City : AUBURN
State : WA
Zip : 98002-4109
Country : US
Telephone Number : 253-293-5734
Fax Number : 206-299-0848
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2023
Last Update Date : 06/04/2025

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Directions to “ RILEY SMITH RDN” Practice Location

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