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Contact Information

TINA D GRUNER, CDE
480 NE A ST
MADRAS, OR97741-1844
 Phone: 541-475-3882
 Fax: 541-475-0610
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutrition, Renal

133VN1005X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Education

133NN1002X
Indicates primary specialty

NPI Profile & details for TINA D GRUNER · (Female)

NPI # 1801060991
Status Active
Credentials CDE
Entity Individual
Enumeration date 04/18/2008
Last updated 04/02/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • DC License # 00618978
  • OR Medicaid 151024
  • OR Other 00618978 ADA MEMBERSHIP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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