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 is a Pediatric Nutrition Registered Dietitian 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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