Provider Demographics
NPI:1386001709
Name:DUCHIN, OFRA (PHD, MPH, RPH, CN)
Entity Type:Individual
Prefix:DR
First Name:OFRA
Middle Name:
Last Name:DUCHIN
Suffix:
Gender:F
Credentials:PHD, MPH, RPH, CN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17127 NE 8TH PL
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98008-3701
Mailing Address - Country:US
Mailing Address - Phone:310-309-0105
Mailing Address - Fax:
Practice Address - Street 1:17127 NE 8TH PL
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98008-3701
Practice Address - Country:US
Practice Address - Phone:310-309-0105
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-15
Last Update Date:2016-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANU60568576133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist