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

Individual provider Nutritionist · NPI 1164794350

Gwen Stoolenwerk Waller, NTP is a Nutritionist in Bend, Oregon. Practices as a sole proprietor. Registered with an NPI since 2012.

In the registry since
2012
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Practice location Address checks out

115 SE Craven Rd
Bend, OR 97702-1516
Phone: (541) 788-4469
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nutritionist (primary) Taxonomy 133N00000X

Record details

NPI number1164794350
Entity typeIndividual (Type 1)
GenderFemale
Credentials NTP
Sole proprietorYes
NPI enumeratedFebruary 2, 2012
Last updated in NPPESFebruary 2, 2012

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