ALYSSA MARIE O'BRIEN


Address: 1111 Ne 99th Ave, Portland, OR 97220-9428
Phone: 5039632707

ALYSSA MARIE O'BRIEN (NPI# 1023483799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023483799
Entity Type Individual
Full Name ALYSSA MARIE O'BRIEN
Credential RD
Practice Address 1111 Ne 99th Ave
Portland
OR 97220-9428
Mailing Address 847 Ne 19th Ave Ste 300
Portland
OR 97232-2686
Practice Telephone 5039632707
Practice Fax Number 5039632802
Mailing Telephone (503) 963-2801
Mailing Fax Number 5039632825
Enumeration Date 2015-12-07
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered LD-D-10184454 OR Dietary & Nutritional Service Providers
N 133V00000X Dietitian, Registered 984417 Dietary & Nutritional Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA 2086834 05
OR 500732181 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1508 Division St Ste 15, Oregon City, OR 970451583 5036923750 5036912324
19250 Sw 90th Ave, Tualatin, OR 970627585 5036923750 5036912324
9701 Sw Barnes Rd Ste 300, Portland, OR 972256689 5032978081 5032926601

Other Providers ALYSSA O'BRIEN

NPI Name Taxonomy Address Enumeration
1922575034 Alyssa O'brien Physician Assistant 1380 Progress Way Ste 114, Eldersburg, MD 21784-6499 2018-10-26
1841548476 Alyssa Trujillo O'brien Nurse Practitioner 4600 Gulf Fwy, Houston, TX 77023-3548 2012-08-29
1972830032 Alyssa Marie O'brien Chiropractor 1370 S Commercial St, Neenah, WI 54956-4636 2009-11-11

Office Location

Street Address 1111 NE 99TH AVE
City PORTLAND
State OR
Zip Code 97220-9428

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578568499 David Arthur Schroeder Internal Medicine 1111 Ne 99th Ave, Suite 201, Portland, OR 97220-9428 2005-06-16
1942788013 Stephanie Smith Physical Therapist 1111 Ne 99th Ave, Portland, OR 97220-9428 2018-08-01
1114405131 Robert Francis Graham Physical Therapist 1111 Ne 99th Ave, Portland, OR 97220-9428 2018-08-01
1962952655 Portland Gastroenterology Equipment Clinic/Center 1111 Ne 99th Ave, Suite 302, Portland, OR 97220-9428 2016-10-06
1346609534 Theresa Orazio Wear Nurse Practitioner 1111 Ne 99th Ave, Portland, OR 97220-9428 2016-02-16
1134504103 Ross Alan Vannorman Physician Assistant 1111 Ne 99th Ave, Portland, OR 97220-9428 2015-07-20
1558748293 Carly Jacqueline Griffin Nurse Practitioner 1111 Ne 99th Ave, Portland, OR 97220-9428 2015-05-01
1932507472 Amanda Vandeventer Physician Assistant 1111 Ne 99th Ave, Suite 201, Portland, OR 97220-9428 2014-12-16
1346645843 Whitni Nicole Friberg Physician Assistant 1111 Ne 99th Ave, Portland, OR 97220-9428 2014-10-27
1003217910 Cindy Fulton Physician Assistant 1111 Ne 99th Ave, Suite 201, Portland, OR 97220-9428 2014-09-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316569254 Debra Shamblin Behavioral Analyst 150 Ne 100th Ave, Portland, OR 97220 2020-05-14
1336780618 Joan Lambert Technician 2802 Ne 108th Avenue, Portland, OR 97220 2019-10-08
1750933917 Multnomah County Clinic/Center 11540 Ne Inverness Dr., Inverness Jail, Portland, OR 97220 2019-07-09
1194223107 Landmark Connect of Oregon PC General Practice 5933 Ne Win Sivers Dr Ste 310, Portland, OR 97220 2018-01-24
1487178711 Andrew Shonk Massage Therapist 163 Ne 102nd Ave Blid V, Portland, OR 97220 2017-07-28
1548781693 Greater New Hope Family Services Lodging 11868 Ne Sandy Blvd, Portland, OR 97220 2017-06-29
1245771740 Maria Teresa Banez Salcedo Registered Nurse 10300 Ne Hancock Street, Portland, OR 97220 2017-03-16
1568901858 Christopher Gabriel Lyons Adult Companion 1343 Ne 118 Ave. Apt5, Portland, OR 97220 2017-02-20
1962945956 Linda Ann Oldenburg Registered Nurse 9515 Ne Skidmore Avenue, Portland, OR 97220 2016-11-23
1326493446 Trent D. Wilson Massage Therapist 8401 Ne Halsey St., Suite 101, Portland, OR 97220 2016-04-26
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609483064 Alayna Louise Hutchinson Dietitian, Registered 5258 Ne Cleveland Ave, Portland, OR 97211-2614 2020-09-29
1558973370 Kianna Aumiller Dietitian, Registered 2167 Sw Yamhill St, Portland, OR 97205-1417 2020-08-21
1255943189 Lisa Gilmore Dietitian, Registered 5214 Sw View Point Ter, Portland, OR 97239-3940 2020-08-21
1346852365 Amanda Kristine Fredrickson Dietitian, Registered 3611 Se 64th Ave., Portland, OR 97206 2020-08-20
1770192353 Jenice A Powell Dietitian, Registered 104 Se 30th Pl, Portland, OR 97214-1915 2020-07-29
1386253698 Margaret Senic Dietitian, Registered 1745 Sw Huntington Ave, Portland, OR 97225-4751 2020-07-23
1881212272 Emily Ryder Dietitian, Registered 624 Nw 20th Ave Apt 1, Portland, OR 97209-1219 2020-07-11
1427686211 Veena M Manohar Dietitian, Registered 1308 Ne Dekum St, Portland, OR 97211-4180 2020-03-29
1841825056 Allison Leigh Williams Dietitian, Registered 7106 Se Raymond Ct, Portland, OR 97206-4439 2020-03-08
1114557782 House Nine LLC Dietitian, Registered 1413 Se Hawthorne Blvd # 1, Portland, OR 97214-3640 2020-01-22
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Competitor

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City PORTLAND
Zip Code 97220

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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