Provider Demographics
NPI:1467076901
Name:THUESON, TRESHIA M (RDN)
Entity Type:Individual
Prefix:
First Name:TRESHIA
Middle Name:M
Last Name:THUESON
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14306 NE 101ST WAY
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98682-1877
Mailing Address - Country:US
Mailing Address - Phone:208-283-2193
Mailing Address - Fax:
Practice Address - Street 1:14306 NE 101ST WAY
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98682-1877
Practice Address - Country:US
Practice Address - Phone:208-283-2193
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-01
Last Update Date:2020-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
WADI61074891OtherWASHINGTON STATE DEPARTMENT OF HEALTH