| Sophia Simone Raasch, RD | |
|
835 Se Bishop Blvd, Pullman, WA 99163-5512 | |
| (509) 336-7543 | |
| Not Available |
| Full Name | Sophia Simone Raasch |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 835 Se Bishop Blvd, Pullman, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992529192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 133V00000X | Dietitian, Registered | 133V00000X (Washington) | Primary |
| Provider Name | Public Hospital District #1-a of Whitman County |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1366446767 PECOS PAC ID: 8325934987 Enrollment ID: O20040223000506 |
| Provider Name | Public Hospital District #1-a of Whitman County |
|---|---|
| Provider Type | Part A Provider - Critical Access Hospital |
| Provider Identifiers | NPI Number: 1366446767 PECOS PAC ID: 8325934987 Enrollment ID: O20070912000859 |
| Mailing Address | Practice Location Address |
|---|---|
| Sophia Simone Raasch, RD Po Box 682, Troy, ID 83871-0682 Ph: (208) 669-8335 | Sophia Simone Raasch, RD 835 Se Bishop Blvd, Pullman, WA 99163-5512 Ph: (509) 336-7543 |
Marilyn Anne Burch, R.D., C.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 835 Se Bishop Blvd, Pullman, WA 99163 Phone: 509-336-7543 Fax: 509-336-7642 |
Anna Grindeland, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 555 Se Water St, Pullman, WA 99163 Phone: 509-270-1020 |
Lisa M Grentz, RD Dietitian Medicare: Medicare Enrolled Practice Location: 825 Se Bishop Blvd Ste 130, Pullman, WA 99163 Phone: 509-336-7543 |
Carla Ellen White, MS Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1905 Nw Valhalla Dr, Pullman, WA 99163 Phone: 406-270-1290 |
Valentine Helena Fey, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 435 Se Spring St, Pullman, WA 99163 Phone: 970-274-8481 |
Mrs. Dana Kujala, RDN Dietitian Medicare: May Accept Medicare Assignments Practice Location: 825 Se Bishop Blvd Ste 130, Pullman, WA 99163 Phone: 509-336-7543 |
Kevin Blume, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1225 N Grand Ave # B, Pullman, WA 99163 Phone: 208-890-5241 |