Provider Demographics
NPI:1659649838
Name:OUELLETTE, SARAH CAMERON (RD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:CAMERON
Last Name:OUELLETTE
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:CAMERON
Other - Last Name:SCHLOSSER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:125 130TH ST SE
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208-6401
Mailing Address - Country:US
Mailing Address - Phone:425-385-2263
Mailing Address - Fax:425-385-8476
Practice Address - Street 1:125 130TH ST SE
Practice Address - Street 2:1ST FLOOR
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98208-6401
Practice Address - Country:US
Practice Address - Phone:425-385-2263
Practice Address - Fax:425-385-8476
Is Sole Proprietor?:No
Enumeration Date:2011-12-02
Last Update Date:2015-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1043247133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered