NPI 1164794350

Gwen Stoolenwerk Waller, NTP

Practitioner Nutritionist Bend, OR

Practice location

Address: 115 SE Craven Rd, Bend, OR 97702-1516
Phone: (541) 788-4469

Registered specialties

Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133N00000X

Other Nutritionist providers in Oregon →

Registry record

NPI: 1164794350
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Feb 2012
Record last updated: 2 Feb 2012

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.