NPI 1063654754

Therese Storino Waterhous, RDLDPHD

Practitioner Registered Dietitian Corvallis, OR

Practice location

Address: 744 NW 4th St, Corvallis, OR 97330-6415
Phone: (541) 207-7205
Fax: (877) 840-1725

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 371 (OR)

Other Dietitian, Registered providers in Oregon →

Registry record

NPI: 1063654754
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Mar 2009
Record last updated: 22 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.