Individual
DR. THERESE STORINO WATERHOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD, PHD
Contact information
Practice address
744 NW 4TH ST, CORVALLIS, OR 97330-6415
(541) 207-7205
(877) 840-1725
Mailing address
744 NW 4TH ST, CORVALLIS, OR 97330-6415
(541) 207-7205
(877) 840-1725
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
371
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500627442
—
OR
Enumeration date
03/27/2009
Last updated
09/22/2015
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