Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carli D. Corpus

Individual provider Registered Dietitian · NPI 1639880388

Carli D. Corpus is a Registered Dietitian OR Nutrition Professional in Bend, Oregon. Qualified in 2022, 4 years ago. Practices with St Charles Health System Inc, a 383-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

2036 NE Williamson Ct
Bend, OR 97701-3771
Phone: (541) 706-6348
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 190 E Bannock St, Boise, ID 83712-6241 — (208) 381-2425

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1639880388
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 13, 2022
Last updated in NPPESFebruary 3, 2025
Certification dateFebruary 3, 2025
Mailing address2245 W Trestle Dr, Meridian, ID 83646-1593

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice St Charles Health System Inc — 383 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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