| Doctor Name: | GWEN STOOLENWERK WALLER |
| NPI Number: | 1164794350 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NTP |
| License Number: | |
| Business Practice Address: | 115 Se Craven Rd Bend, OR - 977021516 |
| Business Phone Number: | 5417884469 |
| Business Fax Number: | |
| Mailing Address: | 115 Se Craven Rd, BEND |
| State: | OR |
| Postal Code: | 977021516 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 02/02/2012 |
| NPI Last Update Date: | 02/02/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133N00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Nutritionist |
| Taxonomy Specialization: | |
| Taxonomy 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. |