Pamela Dae Dick, MS, RD, CDCES
Dietitian, Registered in Boise, ID. Individual provider (NPI-1).
NPI number1598947368
StatusActive
Last updated in NPPESOct 6, 2026
Details
- NPI
- 1598947368
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Pamela Dae Dick
- Credential
- MS, RD, CDCES
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 3, 2007
- Certification date
- Oct 6, 2026
- Last updated
- Oct 6, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 3971987 | ID | Yes |
| 163WD0400X | Registered Nurse, Diabetes Educator | 21120110 | ID | |
| 133V00000X | Dietitian, Registered | DI00001224 | WA |
Practice location
305 E Jefferson StBoise, ID 83712-6231
Phone 208-381-7340
Mailing address
190 E Bannock StBoise, ID 83712-6241
Other practice locations
801 E Wheeler Rd
Moses Lake, WA 98837-1820
Moses Lake, WA 98837-1820
Phone 509-765-5606 · Fax 509-764-3203
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