Individual provider · Type 1 NPI

Mary Terese Wallace

Registered Dietitian · Port Angeles, WA

NPI number 1982156766 Active

Practice location

939 Caroline St
Port Angeles, WA 98362-3997

Fax (360) 417-7188

Mailing address

700 Broadway
Seattle, WA 98122-4302

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XDI 60685427 (WA)

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1982156766

Mary Terese Wallace's National Provider Identifier is 1982156766, issued on Oct 27, 2016. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Port Angeles, WA. The record was last updated on Apr 11, 2023.