NPI 1093983959

Stephanie Alice Russell, RDNLD

Practitioner Registered Dietitian Bend, OR

Practice location

Address: 369 NE Revere Ave STE 105, Bend, OR 97701-4082
Phone: (541) 323-3488
Fax: (541) 323-3483

Registered specialties (2)

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence LD-D-10255383 (OR)

Other Dietitian, Registered providers in Oregon →

Registered Dietitian

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 987692 (WA)

Registry record

NPI: 1093983959
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Feb 2008
Record last updated: 26 Nov 2025

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.