| Mary Terese Wallace, | |
|
939 Caroline St, Port Angeles, WA 98362-3997 | |
| (360) 417-7125 | |
| (360) 417-7188 |
| Full Name | Mary Terese Wallace |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 939 Caroline St, Port Angeles, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982156766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DI 60685427 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Terese Wallace, 700 Broadway, Seattle, WA 98122-4302 Ph: (206) 720-3734 | Mary Terese Wallace, 939 Caroline St, Port Angeles, WA 98362-3997 Ph: (360) 417-7125 |
Elizabeth Schuerman, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 939 Caroline St, Port Angeles, WA 98362 Phone: 360-565-9317 | |
Mr. Michael Lessor, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 939 Caroline St, Port Angeles, WA 98362 Phone: 360-565-9164 | |
Marissa Alexandra Pratt, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 243511 W Highway 101, Port Angeles, WA 98363 Phone: 360-452-6252 | |
Terrell J Harrington, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 710 S Laurel St, Port Angeles, WA 98362 Phone: 512-767-2448 | |
Bethany Leavitt, DTR, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 939 Caroline St, Port Angeles, WA 98362 Phone: 360-565-9317 Fax: 360-417-7188 | |
Christin Therese Maks, RD CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2134 Clipper Cv, Port Angeles, WA 98363 Phone: 360-457-0848 | |
Victoria M Everrett, RD LD CNSC CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 939 Caroline St, Port Angeles, WA 98362 Phone: 360-417-7125 Fax: 360-417-7188 |