Provider Demographics
NPI:1700399847
Name:BOEKE, ALISON MONROE (RDN, LMHC)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:MONROE
Last Name:BOEKE
Suffix:
Gender:F
Credentials:RDN, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:313 150TH ST SE
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98087-6733
Mailing Address - Country:US
Mailing Address - Phone:817-366-6032
Mailing Address - Fax:
Practice Address - Street 1:1900 N NORTHLAKE WAY STE 127
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-9051
Practice Address - Country:US
Practice Address - Phone:206-415-8345
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-12
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
WADI60788419133V00000X
WA60999079101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered