Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evergreen Pediatric Nutrition LLC

Organization Pediatric Nutrition Registered Dietitian · NPI 1124950845

Evergreen Pediatric Nutrition LLC provides Pediatric Nutrition Registered Dietitian services in Renton, Washington. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2440 Ferndale Pl NE
Renton, WA 98056-8374
Phone: (425) 835-2256
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nutrition Registered Dietitian (primary) Taxonomy 133VN1004X

Record details

NPI number1124950845
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mari Mazon — Business Owner · (425) 835-2256
NPI enumeratedMay 29, 2026
Last updated in NPPESMay 29, 2026
Certification dateMay 29, 2026
Mailing address2440 Ferndale Pl Ne, Renton, WA 98056-8374

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