Jessica Douglass, MS, RDN, CD | |
16528 E Desmet Ct Ste 3100, Spokane Valley, WA 99216-3522 | |
(509) 944-9440 | |
Not Available |
Full Name | Jessica Douglass |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 16528 E Desmet Ct Ste 3100, Spokane Valley, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1508538711 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 86100704 (Washington) | Primary |
Provider Name | Providence Health & Services Washington |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1194099390 PECOS PAC ID: 0345139929 Enrollment ID: O20040311001453 |
Mailing Address | Practice Location Address |
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Jessica Douglass, MS, RDN, CD Po Box 421, Liberty Lake, WA 99019-0421 Ph: () - | Jessica Douglass, MS, RDN, CD 16528 E Desmet Ct Ste 3100, Spokane Valley, WA 99216-3522 Ph: (509) 944-9440 |
Dana Sitts, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10807 E Montgomery Dr Ste 8, Spokane Valley, WA 99206 Phone: 509-924-1826 | |
Mrs. Erin Marie Kuh, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12929 E Sprague Ave, Suite 104, Spokane Valley, WA 99216 Phone: 509-496-9998 Fax: 509-891-2368 | |
Briley Cariagain Peters, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 15918 E Euclid Ave, Spokane Valley, WA 99216 Phone: 509-924-1826 | |
Olivia Wooliver Jones, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 15918 E Euclid Ave, Spokane Valley, WA 99216 Phone: 509-924-1826 | |
Rebecca Renae Lonam, MS, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 101 N Evergreen Rd, Spokane Valley, WA 99216 Phone: 509-228-3528 | |
Keisha Engley, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1212 N Pines Rd, Spokane Valley, WA 99206 Phone: 509-893-8140 Fax: 509-227-7070 | |
Simone R Pappalardo, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 15918 E Euclid Ave, Spokane Valley, WA 99216 Phone: 509-924-1826 |