GWEN STOOLENWERK WALLER NTP
NPI 1164794350
Nutritionist in Bend, OR

Q: What is Gwen Stoolenwerk Waller's NPI number?

The NPI number for Gwen Stoolenwerk Waller is 1164794350. It was assigned to this individual provider in the NPPES registry on February 2, 2012.

Q: What is Gwen Stoolenwerk Waller's specialty?

The primary specialty registered for this NPI is Nutritionist with taxonomy code 133N00000X.

Active since February 02, 2012

115 SE CRAVEN RD, BEND, OR 97702(541) 788-4469 Get Directions Write a Review

NPPES record last updated: February 2, 2012. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Gwen Stoolenwerk Waller Ntp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GWEN STOOLENWERK WALLER NTP (NPI 1164794350) is an individual nutritionist in Bend, Oregon and active in the NPI registry since February 2012.

NPPES Registry Identity

NPI1164794350

Entity TypeIndividualFemale

Primary Taxonomy133N00000X

Provider Legal NameGWEN STOOLENWERK WALLERCredential: NTP

Location Address115 SE CRAVEN RDBend, OR 97702-1516

Mailing Address115 Se Craven RdBend, OR 97702-1516

Phone(541) 788-4469

Sole ProprietorYes

Enumeration DateFebruary 2, 2012

✔ NPI 1164794350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNutritionistDietary & Nutritional Service Providers

Taxonomy Code133N00000X

Definition

A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.

115 SE CRAVEN RD, Bend, OR 97702

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gwen Stoolenwerk Waller's NPI number?

The NPI number for Gwen Stoolenwerk Waller is 1164794350. It was assigned to this individual provider in the NPPES registry on February 2, 2012.

Where is Gwen Stoolenwerk Waller located?

Gwen Stoolenwerk Waller practices at 115 SE Craven Rd, Bend, OR 97702. The listed phone number is (541) 788-4469.

What is Gwen Stoolenwerk Waller's specialty?

The primary specialty registered for this NPI is Nutritionist with taxonomy code 133N00000X.

When was this NPI record last updated?

The NPPES record for Gwen Stoolenwerk Waller was last updated on February 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.