Individual
NANCY GUMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
610 NW 11TH ST, HERMISTON, OR 97838-6601
(541) 667-3513
(541) 667-3454
Mailing address
610 NW 11TH ST, HERMISTON, OR 97838-6601
(541) 667-3513
(541) 667-3454
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113257
—
OR
Enumeration date
08/09/2006
Last updated
07/09/2007
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