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

Mary Terese Wallace

Individual provider Registered Dietitian · NPI 1982156766

Mary Terese Wallace is a Registered Dietitian in Port Angeles, Washington. Licensed in Washington. Registered with an NPI since 2016.

Licensed in
WA
In the registry since
2016

Practice location Address checks out

939 Caroline St
Port Angeles, WA 98362-3997
Phone: (360) 417-7125
Fax: (360) 417-7188
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence DI 60685427 (WA)

Record details

NPI number1982156766
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 27, 2016
Last updated in NPPESApril 11, 2023
Certification dateApril 5, 2023

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