| NPI | 1609451566 | 
|---|---|
| Other Name | ICHS DIABETES EDUCATION AND PREVENTION PROGRAM | 
| Entity Type | Organization | 
| Authorized Contact | HERMES SHAHBAZIAN CFO 206-788-3618 | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 133V00000X Dietitian, Registered | 
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty | 
| Enumeration Date | 2021-03-12 | 
| Last Update Date | 2024-09-30 |