Individual
MRS. SHANNON DEE SEGERSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHC, FNMS
Contact information
Practice address
1279 NE 2ND ST, BEND, OR 97701-4343
(541) 419-9699
Mailing address
1840 NE YELLOWSTONE LN, BEND, OR 97701-6580
(541) 419-9699
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
02/09/2026
Last updated
02/09/2026
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