NPI 1023262896

Stacey Debra Oberst Peterson, MSRD

Practitioner Registered Dietitian Renton, WA

Practice location

Address: 500 SW 39th St Suite 150, Renton, WA 98057-4915
Phone: (253) 350-4477
Fax: (253) 630-2292

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence DI60056601 (WA)

Other Dietitian, Registered providers in Washington →

Registry record

NPI: 1023262896
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Nov 2008
Record last updated: 6 Nov 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.