Provider Demographics
NPI:1730524562
Name:PIFHER, VIRGINIA L (RD)
Entity type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:L
Last Name:PIFHER
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 S SHERMAN ST
Mailing Address - Street 2:SUITE 207
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202-1342
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:610 S SHERMAN ST
Practice Address - Street 2:SUITE 207
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-1342
Practice Address - Country:US
Practice Address - Phone:509-473-1001
Practice Address - Fax:509-473-1011
Is Sole Proprietor?:No
Enumeration Date:2013-05-07
Last Update Date:2013-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA887228133VN1005X
174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
No133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Renal