| Judy A Sundquist, MPH, RD | |
|
7928 Nw Arboretum Road, Corvallis, OR 97330-9538 | |
| (541) 207-3570 | |
| (541) 207-3570 |
| Full Name | Judy A Sundquist |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered - Nutrition, Pediatric |
| Location | 7928 Nw Arboretum Road, Corvallis, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538461603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 00413617 (California) | Secondary |
| 133VN1004X | Dietitian, Registered - Nutrition, Pediatric | 00413617 (California) | Primary |
| Provider Name | Gobble Shults & Associates Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1275604399 PECOS PAC ID: 4587759436 Enrollment ID: O20110331000058 |
| Mailing Address | Practice Location Address |
|---|---|
| Judy A Sundquist, MPH, RD 7928 Nw Arboretum Rd, Corvallis, OR 97330-9538 Ph: (541) 207-3570 | Judy A Sundquist, MPH, RD 7928 Nw Arboretum Road, Corvallis, OR 97330-9538 Ph: (541) 207-3570 |
Ms. Laura Luczkiw, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3680 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-754-1150 | |
Raye Maudlin, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3517 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-768-6429 Fax: 541-768-6514 | |
Lauren Paciulla, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3600 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-768-4663 | |
Madison Nicole Delmendo, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 3680 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-754-1150 | |
Dr. Therese Storino Waterhous, RD, LD, PHD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 744 Nw 4th St, Corvallis, OR 97330 Phone: 541-207-7205 Fax: 877-840-1725 | |
Maddison Marie Greaves, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3680 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-766-2180 | |
Creating Nutrition, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 922 Nw Circle Blvd Ste 160-219, Corvallis, OR 97330 Phone: 541-243-3665 Fax: 541-224-5277 |