| Lively Greens | |
|
3333 Se Horstman Rd, Port Orchard, WA 98366-4054 | |
| (713) 689-9673 | |
| Not Available |
| Full Name | Lively Greens |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 3333 Se Horstman Rd, Port Orchard, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942697198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DI 60543717 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lively Greens 3333 Se Horstman Rd, Port Orchard, WA 98366-4054 Ph: (713) 689-9673 | Lively Greens 3333 Se Horstman Rd, Port Orchard, WA 98366-4054 Ph: (713) 689-9673 |
Cynthia Denise Huskey, RD, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 776 Sw Odell St, Port Orchard, WA 98367 Phone: 360-874-0788 | |
Michaela Phillips, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 237 Tremont Pl W, Port Orchard, WA 98366 Phone: 518-698-7112 | |
Dr. Lisa Charissima Daniels, PH.D., R.D.N. Dietitian Medicare: Medicare Enrolled Practice Location: 3903 Lieseke Ln Sw, Port Orchard, WA 98367 Phone: 703-895-0061 | |
Ms. Brianna Marie Chandler, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1141 Beach Dr E, Port Orchard, WA 98366 Phone: 360-895-4710 | |
Ms. Nova Riemer, MS, RDN, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1141 Beach Dr E, Port Orchard, WA 98366 Phone: 360-895-4668 Fax: 360-895-4365 | |
Bobbi Kay Philips, DI Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1141 Beach Dr E, Port Orchard, WA 98366 Phone: 360-895-4710 Fax: 360-895-4453 | |
Timothy P Heran, RDN, CGD, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1141 Beach Dr E, Port Orchard, WA 98366 Phone: 360-895-4668 |