Provider Demographics
NPI:1457995284
Name:MUHLHAUSER, MADISON KATHERINE (MS)
Entity Type:Individual
Prefix:
First Name:MADISON
Middle Name:KATHERINE
Last Name:MUHLHAUSER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 FRANKLIN ST STE 200
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98660-3356
Mailing Address - Country:US
Mailing Address - Phone:360-989-5870
Mailing Address - Fax:
Practice Address - Street 1:800 FRANKLIN ST STE 200
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98660-3356
Practice Address - Country:US
Practice Address - Phone:360-828-1429
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-05
Last Update Date:2019-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist