CORPO SANO NUTRITION LLC (NPI# 1134513286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134513286 |
| Entity Type | Organization |
| Organization Name | CORPO SANO NUTRITION LLC |
| Practice Address |
5331 Sw Macadam Ave Suite 380 Portland OR 97239-6104 |
| Mailing Address |
1955 Se Morrison St Apt 208 Portland OR 97214-2782 |
| Practice Telephone | 5038949118 |
| Mailing Telephone | 9712704977 |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2015-03-26 |
| Authorized Official Name | MS. REBECCA E ROSS (NUTRITIONAL THERAPY PRACTITIONER) |
| Authorized Official Telephone | 9712704977 |
| Authorized Official Credential | NTP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133N00000X | Nutritionist | Dietary & Nutritional Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CORPO SANO NUTRITION LLC | 9011 Sw Beaverton Hillsdale Hwy, Suite 1-d, Portland, OR 97225 |
| Street Address |
5331 SW MACADAM AVE SUITE 380 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97239-6104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629050406 | Kelly Osmont | Social Worker | 5331 Sw Macadam Ave, Suite 397, Portland, OR 97239-6104 | 2005-11-16 |
| 1710424338 | Good Point Acupuncture, LLC | Acupuncturist | 5331 Sw Macadam Ave, Ste 380, Portland, OR 97239 | 2017-01-20 |
| 1871952937 | Jason Wysocki | Naturopath | 5331 Sw Macadam Ave, Suite 380, Portland, OR 97239-6104 | 2016-02-17 |
| 1528435385 | Raleigh Warren | Chiropractor | 5331 Sw Macadam Ave, Suite 307, Portland, OR 97239-6104 | 2015-08-27 |
| 1861815318 | Alexander Kahn | Acupuncturist | 5331 Sw Macadam Ave, Ste. 380, Portland, OR 97239-6104 | 2014-02-03 |
| 1295161560 | Teryl Jan Clendenin | Nurse Practitioner | 5331 Sw Macadam Ave, Suite 209, Portland, OR 97239 | 2013-09-18 |
| 1124395546 | 8 Hearts LLC | Naturopath | 5331 Sw Macadam Ave, Suite 285, Portland, OR 97239-6104 | 2011-11-30 |
| 1811287543 | Crosscurrent, Inc. | Prosthetic/Orthotic Supplier | 5331 Sw Macadam Ave, Ste 216, Portland, OR 97239-6104 | 2011-04-14 |
| 1699077966 | Jennifer Kathleen Connor-smith | Psychologist | 5331 Sw Macadam Ave, Suite 363, Portland, OR 97239-6104 | 2010-11-18 |
| 1467772178 | Jennifer Marie Bivens | Massage Therapist | 5331 Sw Macadam Ave, Suite 105, Portland, OR 97239-6104 | 2010-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
| 1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
| 1881219657 | Desiree Baer | Licensed Vocational Nurse | Sw Us Veterans Hospital Rd, Portland, OR 97239 | 2020-06-08 |
| 1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
| 1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
| 1801448063 | Alice Huang Huang | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Road, Portland, OR 97239 | 2019-07-09 |
| 1710446273 | Ellen Noreen Kessi | Social Worker | 3710 Sw Us Veterans Rd., Portland, OR 97239 | 2019-03-14 |
| 1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
| 1275030926 | Carly Elizabeth Dougher | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 | 2018-04-10 |
| 1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
| Find all providers in zip 97239 | ||||
| Taxonomy Code | 133N00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation. |
| Notes: Source: (1) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427674340 | Cami Renee Smalley | Nutritionist | 34 Congress St Apt 1, Portland, ME 04101-3665 | 2020-06-17 |
| 1659994937 | Leandre E Fischer | Nutritionist | 909 Se Rhine St, Portland, OR 97202-2752 | 2020-05-21 |
| 1881244580 | Linda A Banchini | Nutritionist | 11540 Sw 58th Ct, Portland, OR 97219-7256 | 2019-09-14 |
| 1790296721 | Carli Webb | Nutritionist | 9320 Sw Barbur Blvd Ste 165, Portland, OR 97219-5430 | 2017-10-17 |
| 1942737259 | Megan Deras Gardner | Nutritionist | 1585 Sw Marlow Ave Ste 200, Portland, OR 97225-5178 | 2017-05-17 |
| 1235526286 | Holly Lynn Morello | Nutritionist | 3874 Nw Loriann Dr, Portland, OR 97229-8346 | 2015-04-16 |
| 1689076796 | Selena Moffitt | Nutritionist | 5331 Sw Macadam Ave Ste 380, Portland, OR 97239-3879 | 2014-09-19 |
| 1366889594 | Shelley Lowrie | Nutritionist | 11640 Sw Corby Dr #5, Portland, OR 97225 | 2013-05-29 |
| 1912240631 | Jennifer E Scribner | Nutritionist | 2011 Se 35th Pl, Portland, OR 97214-5803 | 2013-04-01 |
| 1942571187 | Carole Hildebrandt | Nutritionist | 16245 Sw 93rd Ave, Portland, OR 97224-5588 | 2012-01-19 |
| Find all providers in PORTLAND | ||||
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| 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.