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Shannon Rae Mallory Hertzog, BS,MS
Registered Dietitian in Battle Ground, Washington
NPI 1124602560

Shannon Rae Mallory Hertzog is a Registered Dietitian based in Vancouver, WA. Shannon Rae Mallory Hertzog practices in Battle Ground, WA and has the professional credentials of BS,MS. The NPI Number for Shannon Rae Mallory Hertzog is 1124602560 and holds a License No. DI61176521 (Washington).

The current practice location address for Shannon Rae Mallory Hertzog is 2005 W Main St Ste 130, Battle Ground, WA and can be reached out via phone at 360-882-2778 and via fax at 360-604-1785.

Location: 2005 W Main St Ste 130, Battle Ground, WA, 98664-4896
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124602560
Provider Name
Shannon Rae Mallory Hertzog
Credential
BS,MS
Provider Entity Type
Individual
Gender
Female
Address
2005 W Main St Ste 130, Battle Ground, WA, 98664-4896
Phone Number
360-882-2778
Fax Number
360-604-1785
Provider Enumeration Date
05/11/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2005 W Main St Ste 130
City
Battle Ground
State
Washington
Zip
98604-4311
Phone Number
360-882-2778
Fax Number
360-604-1785
person
Provider Business Mailing Address Details
Address
2005 W Main St Ste 130
City
Battle Ground
State
Washington
Zip
98604-4311
Phone Number
360-882-2778
Fax Number
360-604-1785
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
-
Taxonomy
133V00000X
License No.
DI61176521 (Washington)
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
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