Provider Demographics
NPI:1407626476
Name:BARTOK, CYNTHIA JEANNETTE (PHD, RDN, CD)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:JEANNETTE
Last Name:BARTOK
Suffix:
Gender:F
Credentials:PHD, RDN, CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7126 NE 135TH ST
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-5008
Mailing Address - Country:US
Mailing Address - Phone:425-221-8179
Mailing Address - Fax:
Practice Address - Street 1:7126 NE 135TH ST
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-5008
Practice Address - Country:US
Practice Address - Phone:425-221-8179
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-02
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADI60856870133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered