Provider Demographics
NPI:1780229559
Name:BARBARA AMSLER NUTRITION, PLLC
Entity type:Organization
Organization Name:BARBARA AMSLER NUTRITION, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIETITIAN
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:AMSLER
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:360-775-9431
Mailing Address - Street 1:206 CAMERON RD.
Mailing Address - Street 2:
Mailing Address - City:PORT ANGELES
Mailing Address - State:WA
Mailing Address - Zip Code:98363
Mailing Address - Country:US
Mailing Address - Phone:360-775-9431
Mailing Address - Fax:360-775-2207
Practice Address - Street 1:320 E. 5TH ST.
Practice Address - Street 2:
Practice Address - City:PORT ANGELES
Practice Address - State:WA
Practice Address - Zip Code:98362
Practice Address - Country:US
Practice Address - Phone:360-775-9431
Practice Address - Fax:360-775-2207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-15
Last Update Date:2019-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty