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Marilyn Waller-Niewold, D.P.M

NPI 1568465177 · on the registry since 2005

Practice

Address
1270 Kot-Num Road, Box 1209
Warm Springs, OR 98861
Phone
(541) 553-1196
Fax
(541) 553-2613

Registry record

Primary taxonomy
213ES0103X
213ES0103X
Also registered as
213ES0103X
Licence states on file
OR, CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-06-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon