Provider Demographics
NPI:1336537281
Name:STRICKLER, HEIDI KRISTINE (RDN CD)
Entity Type:Individual
Prefix:MRS
First Name:HEIDI
Middle Name:KRISTINE
Last Name:STRICKLER
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 1:5022 9TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-3605
Mailing Address - Country:US
Mailing Address - Phone:801-440-2416
Mailing Address - Fax:
Practice Address - Street 1:4720 200TH ST SW
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-6645
Practice Address - Country:US
Practice Address - Phone:425-776-0803
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-30
Last Update Date:2014-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1072942133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered