Provider Demographics
NPI:1043796139
Name:THOMPSON, ALLISON (MS, RD)
Entity type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:MS
Other - First Name:ALLISON
Other - Middle Name:
Other - Last Name:RISCOE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:400 108TH AVE NE STE 402
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-5508
Mailing Address - Country:US
Mailing Address - Phone:425-454-1199
Mailing Address - Fax:425-454-8779
Practice Address - Street 1:400 108TH AVE NE STE 402
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-5508
Practice Address - Country:US
Practice Address - Phone:425-454-1199
Practice Address - Fax:425-454-8779
Is Sole Proprietor?:No
Enumeration Date:2018-07-12
Last Update Date:2018-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered