IndividualActive
Tina Gruner, CDE
NPI 1801060991 · Renal Nutrition Registered Dietitian · Madras, OR
Provider details
- NPI number
- 1801060991
- Entity type
- Individual
- Primary specialty
- Renal Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- CDE
- Sex
- Female
- Sole proprietor
- No
- License
- 00618978 (DC)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
Practice location
480 Ne a St
Madras, OR 97741-1844
Phone: (541) 475-3882
Fax: (541) 475-0610
Approximate (ZIP-level) locationGet directions
Mailing address
480 Ne a St
Madras, OR 97741-1844
Registry dates
- Enumerated
- 2008-04-18
- Last updated
- 2010-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.