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NPI Code Detail

MEDICARE: KAREN K. DORSING R.D.

MEDICARE: KAREN K. DORSING R.D.
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 DietitianDI00001270WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
174222UOTHERWAREGENCE BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689622656
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN K. DORSING R.D.
Provider Business Mailing Address
First Line : 330 S STILLAGUAMISH AVE
Second Line :
City : ARLINGTON
State : WA
Zip : 98223-1642
Country : US
Telephone Number : 360-435-2133
Fax Number : 360-435-0513
Provider Business Practice Location Address
First Line : 330 S STILLAGUAMISH AVE
Second Line :
City : ARLINGTON
State : WA
Zip : 98223-1642
Country : US
Telephone Number : 360-435-2133
Fax Number : 360-435-0513
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2006
Last Update Date : 07/08/2007

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