| Doctor Name: | DR. THERESE STORINO WATERHOUS |
| NPI Number: | 1063654754 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD, LD, PHD |
| License Number: | 371 |
| Business Practice Address: | 744 Nw 4th St Corvallis, OR - 973306415 |
| Business Phone Number: | 5412077205 |
| Business Fax Number: | 8778401725 |
| Mailing Address: | 744 Nw 4th St, CORVALLIS |
| State: | OR |
| Postal Code: | 973306415 |
| Phone Number: | 5412077205 |
| Fax Number: | 8778401725 |
| NPI Enumeration Date: | 03/27/2009 |
| NPI Last Update Date: | 09/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 371 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |