Provider Demographics
NPI:1003041955
Name:COLOVOS, TIANA FRANCES (RD)
Entity Type:Individual
Prefix:
First Name:TIANA
Middle Name:FRANCES
Last Name:COLOVOS
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UWMC 1959 NE PACIFIC
Mailing Address - Street 2:PO BOX 356059
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98195-0001
Mailing Address - Country:US
Mailing Address - Phone:206-598-6004
Mailing Address - Fax:206-598-4156
Practice Address - Street 1:UWMC
Practice Address - Street 2:1959 NE PACIFIC
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-0001
Practice Address - Country:US
Practice Address - Phone:206-598-6004
Practice Address - Fax:206-598-4156
Is Sole Proprietor?:No
Enumeration Date:2009-05-21
Last Update Date:2009-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADI00000600133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered