DR. THERESE STORINO WATERHOUS (NPI# 1063654754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063654754 |
| Entity Type | Individual |
| Full Name | DR. THERESE STORINO WATERHOUS |
| Credential | RD, LD, PHD |
| Practice Address |
744 Nw 4th St Corvallis OR 97330-6415 |
| Practice Telephone | 5412077205 |
| Practice Fax Number | 8778401725 |
| Mailing Telephone | 5412077205 |
| Mailing Fax Number | 8778401725 |
| Enumeration Date | 2009-03-27 |
| Last Update Date | 2015-09-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 371 | OR | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500627442 | 05 |
| Street Address |
744 NW 4TH ST |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97330-6415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811917404 | Jan Paul Silverio | Counselor | 744 Nw 4th St, Corvallis, OR 97330-6415 | 2006-07-19 |
| 1801227384 | Marijke L Brutsaert | Social Worker | 744 Nw 4th St, Corvallis, OR 97330-6415 | 2013-12-09 |
| 1619208113 | Jon Alfred Sears | Counselor | 744 Nw 4th St, Corvallis, OR 97330-6415 | 2010-01-22 |
| 1285814947 | Susan Lee Goodman | Counselor | 744 Nw 4th St, Corvallis, OR 97330-6415 | 2007-11-10 |
| 1003019605 | Hannelore Na Ondrusek | Counselor | 744 Nw 4th St, Corvallis, OR 97330-6415 | 2007-06-09 |
| 1407068539 | Valerie Lake | Specialist | 744 Nw 4th St, Corvallis, OR 97330-6415 | 2007-05-03 |
| 1861520116 | Cynthia Tucker | Social Worker | 744 Nw 4th St, Corvallis, OR 97330-6415 | 2007-03-01 |
| 1528107679 | John D. Atkinson IIi | Psychologist | 744 Nw 4th St, Corvallis, OR 97330-6415 | 2007-02-05 |
| 1972684108 | Carol Fox Sillars | Psychologist | 744 Nw 4th St, Corvallis, OR 97330-6415 | 2006-10-17 |
| 1013011030 | Paige Kimberly Warner | Psychologist | 744 Nw 4th St, Corvallis, OR 97330-6415 | 2006-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754912 | Miya Claborn | Counselor | 4495 Se Hwy 20, Corvallis, OR 97330 | 2020-06-09 |
| 1548889017 | Greydi Olvera | Counselor | Childrens Farm Home 4455 Ne Hwy 20, Corvallius, OR 97330 | 2020-04-14 |
| 1053953992 | Andie Marie Gaipo | Counselor | 4455 Ne Hwy 20 - Children's Farm Home, Corvallis, OR 97330 | 2019-10-11 |
| 1740847177 | Stephen Jack Eccles | Behavior Technician | Trillium Children's Farm Home, 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-05-21 |
| 1750944815 | Tiffany Rene Flinchpaugh | Counselor | Children's Farm Home 4455 Hwy 20, Corvallis, OR 97330 | 2019-04-15 |
| 1679035455 | Isaiah Mile Cassidy | Counselor | Children's Farm Home-4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-04-02 |
| 1982168399 | Haylee Cramblit | Counselor | Children's Farm Home 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-01-30 |
| 1457835365 | Ashley Alyn Couch | Counselor | 4455 Hwy 20 Corvallis 97330, Corvallis, OR 97330 | 2018-09-18 |
| 1104318898 | Megan Gerding | Technician, Other | 996 Nw Circle Blvd Suite 103, Corvallis, OR 97330 | 2018-05-30 |
| 1700377108 | Pacific Hearing Services | Audiologist | 975 Nw Spruce Ave, Suite #101, Corvallis, OR 97330 | 2018-05-22 |
| Find all providers in zip 97330 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902751 | Elise Michelle Edward | Dietitian, Registered | 5098 Sw Technology Loop Apt 205, Corvallis, OR 97333-1591 | 2020-11-06 |
| 1912546177 | Keelie Korsness | Dietitian, Registered | 260 Sw Madison Ave Ste 109, Corvallis, OR 97333-4728 | 2020-01-04 |
| 1053958116 | Rachel Evon Elzinga | Dietitian, Registered | 1445 Nw Division St Apt 5, Corvallis, OR 97330-4557 | 2019-12-06 |
| 1063057305 | Madison Nicole Delmendo | Dietitian, Registered | 1680 Se Crystal Lake Dr, Corvallis, OR 97333-1281 | 2019-11-11 |
| 1396393757 | Anastasia Kasianchuk | Dietitian, Registered | 2955 Nw Monterey Dr, Corvallis, OR 97330-3434 | 2019-08-29 |
| 1861779118 | Cindy Kitchen | Dietitian, Registered | 3517 Nw Samaritan Dr Ste 200, Corvallis, OR 97330-3767 | 2011-11-14 |
| 1639476708 | Elizabeth Anne Harris | Dietitian, Registered | 4989 Sw Roseberry St, Corvallis, OR 97333-1360 | 2011-02-24 |
| 1538461603 | Judy A. Sundquist | Dietitian, Registered | 7928 Nw Arboretum Road, Corvallis, OR 97330-9538 | 2010-11-23 |
| 1245300672 | Karen Jean Kreamer | Dietitian, Registered | 3600 Nw Samaritan Dr., Corvallis, OR 97330-5130 | 2006-11-09 |
| 1275522989 | Taiga B Sudakin | Dietitian, Registered | 310 Nw 5th St, Ste107, Corvallis, OR 97330-4842 | 2005-10-14 |
| Find all providers in CORVALLIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.