Grothen, Rachael L

Grothen, Rachael L is an individual health care provider with primary practice located at 3600 Lind Ave Sw Ste 160 , Renton WA 98057-4934. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Education. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Grothen, Rachael L can be contacted via phone (425) 690-3513.

Contact Information

Primary practice address
3600 Lind Ave Sw Ste 160 Renton WA 98057-4934
Phone: (425) 690-3513
Fax: (425) 690-9513
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DI00001071 Washington
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X DI00001071 Washington

Profile Details

NPI number 1508068222
LBN Legal business name Grothen, Rachael L
Credentials DIETICIAN
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2007
Last updated Aug 4th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508068222 NPPES
Washington MEDICAID 1037837

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