Stoolenwerk Waller, Gwen

Stoolenwerk Waller, Gwen is an sole proprietor health care provider with primary practice located at 115 Se Craven Rd , Bend OR 97702-1516. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as her primary health care specialty. Stoolenwerk Waller, Gwen can be contacted via phone (541) 788-4469.

Contact Information

Primary practice address
115 Se Craven Rd Bend OR 97702-1516
Phone: (541) 788-4469
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X

Profile Details

NPI number 1164794350
LBN Legal business name Stoolenwerk Waller, Gwen
Credentials NTP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2012
Last updated Feb 2nd, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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