Provider Demographics
NPI:1528255817
Name:GRISWOLD, MARGARET E (RD, CD)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:E
Last Name:GRISWOLD
Suffix:
Gender:F
Credentials:RD, CD
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:E
Other - Last Name:GROSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:224 WOODLAND BEACH RD
Mailing Address - Street 2:
Mailing Address - City:CAMANO ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98282-8504
Mailing Address - Country:US
Mailing Address - Phone:425-356-7937
Mailing Address - Fax:
Practice Address - Street 1:2000 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:SEDRO WOOLLEY
Practice Address - State:WA
Practice Address - Zip Code:98284-4327
Practice Address - Country:US
Practice Address - Phone:360-856-6021
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-01
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADI00000448133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered