Provider Demographics
NPI:1699915157
Name:GUENTHER, CHRISTINE (RD)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:
Last Name:GUENTHER
Suffix:
Gender:F
Credentials:RD
Other - Prefix:MISS
Other - First Name:CHRISTINE
Other - Middle Name:
Other - Last Name:PONIEWOZIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:2801 ST ANTHONY WAY
Mailing Address - Street 2:NUTRITION SERVICES
Mailing Address - City:PENDLETON
Mailing Address - State:OR
Mailing Address - Zip Code:97801-3800
Mailing Address - Country:US
Mailing Address - Phone:541-278-3235
Mailing Address - Fax:541-966-0504
Practice Address - Street 1:2801 ST ANTHONY WAY
Practice Address - Street 2:NUTRITION SERVICES
Practice Address - City:PENDLETON
Practice Address - State:OR
Practice Address - Zip Code:97801-3800
Practice Address - Country:US
Practice Address - Phone:541-278-3235
Practice Address - Fax:541-966-0504
Is Sole Proprietor?:No
Enumeration Date:2009-02-24
Last Update Date:2013-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR820133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered