Provider Demographics
NPI:1780005686
Name:MARTINEZ-SINGH, ANJOLI (RD)
Entity type:Individual
Prefix:
First Name:ANJOLI
Middle Name:
Last Name:MARTINEZ-SINGH
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 NE 87TH AVE STE 280
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98664-4896
Mailing Address - Country:US
Mailing Address - Phone:603-541-2552
Mailing Address - Fax:360-604-1625
Practice Address - Street 1:700 NE 87TH AVE STE 280
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98664-4896
Practice Address - Country:US
Practice Address - Phone:360-541-2552
Practice Address - Fax:360-604-1625
Is Sole Proprietor?:No
Enumeration Date:2013-12-18
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADI61621706133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered