Provider Demographics
NPI:1881994820
Name:YASEEN, ERIN SAENA (CN)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:SAENA
Last Name:YASEEN
Suffix:
Gender:F
Credentials:CN
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:SAENA
Other - Last Name:YASEEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CN
Mailing Address - Street 1:PO BOX 1401
Mailing Address - Street 2:SUITE 15
Mailing Address - City:SNOQUALMIE
Mailing Address - State:WA
Mailing Address - Zip Code:98045-8719
Mailing Address - Country:US
Mailing Address - Phone:425-445-3816
Mailing Address - Fax:
Practice Address - Street 1:430 SE 9TH ST
Practice Address - Street 2:
Practice Address - City:NORTH BEND
Practice Address - State:WA
Practice Address - Zip Code:98045-1126
Practice Address - Country:US
Practice Address - Phone:425-445-3816
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-25
Last Update Date:2017-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANU60029155133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist