MEDICARE: MS. MICHELLE IRENE HOWE MA, RD, CSCS

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
1	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1598365876
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MICHELLE IRENE HOWE MA, RD, CSCS

Provider Business Mailing Address
First Line	:	14808 23RD AVE NE
Second Line	:
City	:	ARLINGTON
State	:	WA
Zip	:	98223-9701
Country	:	US
Telephone Number	:	425-231-3675
Fax Number	:

Provider Business Practice Location Address
First Line	:	14808 23RD AVE NE
Second Line	:
City	:	ARLINGTON
State	:	WA
Zip	:	98223-9701
Country	:	US
Telephone Number	:	425-231-3675
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2020
Last Update Date	:	10/27/2020

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