Provider Demographics
NPI:1811395346
Name:GOFF, CHRISTINE (RDN, CD)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:GOFF
Suffix:
Gender:F
Credentials:RDN, CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3203 206TH PL SW
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-7817
Mailing Address - Country:US
Mailing Address - Phone:206-914-1904
Mailing Address - Fax:425-354-3544
Practice Address - Street 1:8002 5TH AVE NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-4113
Practice Address - Country:US
Practice Address - Phone:774-254-0789
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-16
Last Update Date:2014-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA86039009133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered