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Contact Information

AMY MACK, MS, RD, CSP, CNSC
4800 SAND POINT WAY NE
M/S OA 5.210
SEATTLE, WA98105-3901
 Phone: 206-987-4758
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for AMY MACK · (Female)

NPI # 1629440318
Status Active
Credentials MS, RD, CSP, CNSC
Entity Individual
Enumeration date 10/21/2015
Last updated 10/21/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • WA License # DI 60597926
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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