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Gwen Stoolenwerk Waller, NTP
NPI 1164794350 · Nutritionist · Bend, OR
Gwen Stoolenwerk Waller, NTP is a Nutritionist provider in Bend, OR (NPI 1164794350).
Provider details
- NPI number
- 1164794350
- Entity type
- Individual
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Credential
- NTP
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
115 Se Craven Rd
Bend, OR 97702-1516
Phone: (541) 788-4469
Street-level locationGet directions
Mailing address
115 Se Craven Rd
Bend, OR 97702-1516
Registry dates
- Enumerated
- 2012-02-02
- Last updated
- 2012-02-02
Frequently asked questions
- What is Gwen Stoolenwerk Waller's NPI number?
- Gwen Stoolenwerk Waller's National Provider Identifier (NPI) is 1164794350, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gwen Stoolenwerk Waller's specialty?
- Gwen Stoolenwerk Waller is listed in the NPPES registry with a primary specialty of Nutritionist (Dietary & Nutritional Service Providers).
- Where is Gwen Stoolenwerk Waller located?
- Gwen Stoolenwerk Waller's practice location on file with NPPES is 115 Se Craven Rd, Bend, OR 97702-1516.
- What is Gwen Stoolenwerk Waller's phone number?
- The practice phone number listed in the NPPES registry for Gwen Stoolenwerk Waller is (541) 788-4469.
- Is Gwen Stoolenwerk Waller's NPI active?
- Yes — Gwen Stoolenwerk Waller's NPI (1164794350) is active in the NPPES registry as of the last update on 2012-02-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.