Provider Demographics
NPI:1871466011
Name:LEVEL 11 NUTRITION LLC
Entity type:Organization
Organization Name:LEVEL 11 NUTRITION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIETITIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:STEMKE
Authorized Official - Suffix:
Authorized Official - Credentials:RDN, LD
Authorized Official - Phone:844-538-3511
Mailing Address - Street 1:1760 SW 3RD ST
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97333-1725
Mailing Address - Country:US
Mailing Address - Phone:844-538-3511
Mailing Address - Fax:
Practice Address - Street 1:1760 SW 3RD ST
Practice Address - Street 2:
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97333-1725
Practice Address - Country:US
Practice Address - Phone:844-538-3511
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-24
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty