PAULA J. STAAB (NPI# 1659802650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659802650 |
| Entity Type | Individual |
| Full Name | PAULA J. STAAB |
| Credential | RD LD |
| Practice Address |
1130 Nw 22nd Ave Suite 640 Portland OR 97210-2900 |
| Practice Telephone | 5032297976 |
| Practice Fax Number | 5032744867 |
| Mailing Telephone | 5032297976 |
| Mailing Fax Number | 5032744867 |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2017-03-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
000937 | OR | Dietary & Nutritional Service Providers |
| Street Address |
1130 NW 22ND AVE SUITE 640 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97210-2900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689677445 | Evonne Maria Kandas | Nurse Practitioner | 1130 Nw 22nd Ave, Suite 110, Portland, OR 97210-2900 | 2005-05-24 |
| 1346756269 | Erin P O'hollaren | Registered Nurse | 1130 Nw 22nd Ave, Portland, OR 97210-2900 | 2017-12-15 |
| 1366967879 | Vladimir Nikolayevich Chernyshev | Licensed Practical Nurse | 1130 Nw 22nd Ave, Portland, OR 97210-2900 | 2017-08-04 |
| 1447604566 | Lori Eckel | Social Worker | 1130 Nw 22nd Ave, Suite 110, Portland, OR 97210-2900 | 2016-04-14 |
| 1245660414 | Margarita Damaso-sahari | Nurse Practitioner | 1130 Nw 22nd Ave, Suite 640, Portland, OR 97210-2900 | 2013-11-25 |
| 1932464492 | Complete Anesthesia Care LLC | Nurse Anesthetist, Certified Registered | 1130 Nw 22nd Ave, Suite 615, Portland, OR 97210-2900 | 2012-07-11 |
| 1033478409 | Megan N Stack | Nurse Practitioner | 1130 Nw 22nd Ave, Suite 640, Portland, OR 97210-2900 | 2012-05-04 |
| 1730455304 | Nancy M Oswald | Social Worker | 1130 Nw 22nd Ave, Suite 345, Portland, OR 97210-2900 | 2012-03-28 |
| 1992090112 | Onyekachi Ogbonna | Internal Medicine | 1130 Nw 22nd Ave, Portland, OR 97210-2900 | 2011-06-15 |
| 1386935609 | Carmen M Doom | Obstetrics & Gynecology | 1130 Nw 22nd Ave, Suite 520, Portland, OR 97210 | 2011-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679109086 | Joseph Francolino | Massage Therapist | 2174 Nw Davis Street, Apartment 105, Portland, OR 97210 | 2020-03-17 |
| 1215574058 | Northwest Dbt LLC | Psychologist | 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 | 2019-11-27 |
| 1649769480 | Dipesh Patel | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Ave. Legacy Clinic Good Samaritan, Portland, OR 97210 | 2018-05-08 |
| 1760987234 | Meghan Teague | Student in an Organized Health Care Education/Training Program | Legacy Good Samaritan Medical Center- Gme, 1015 Nw 22nd Ave, Portland, OR 97210 | 2018-03-27 |
| 1205349172 | Paul M Storm | Acupuncturist | 1708 Nw 25th Ave. Apt. #6, Portland, OR 97210 | 2017-11-14 |
| 1740703750 | Audra K Berning | Massage Therapist | 2122 Nw Quimby, Root Whole Body, Portland, OR 97210 | 2017-07-21 |
| 1720539810 | Anna-marie Elizabeth Wood | Audiologist | 2222 Nw Lovejoy St Ste 662, Portland, OR 97210 | 2016-10-24 |
| 1659829836 | H&s Pearl, LLC | Massage Therapist | 25 Nw 23rd Pl, Suite 7, Portland, OR 97210 | 2016-09-15 |
| 1255785796 | Cortez Natural Medicine, Inc. | Acupuncturist | 2230 Nw Pettygove Street, Unit 130, Portland, OR 97210 | 2016-04-21 |
| 1932563616 | Vincent Chen | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Avenue, Legacy Clinic Good Samaritan, Portland, OR 97210 | 2016-04-08 |
| Find all providers in zip 97210 | ||||
| Taxonomy Code | 133VN1005X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Renal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811237563 | Jennifer Fritzsche | Dietitian, Registered | 703 Ne Hancock St, Portland, OR 97212-3955 | 2013-02-18 |
| 1003109042 | Kara Marie Odiaga | Dietitian, Registered | 703 Ne Hancock St, Portland, OR 97212-3955 | 2011-05-24 |
| 1467593111 | Jessie Pavlinac | Dietitian, Registered | 3181 Sw Sam Jackson Park Rd, Ohsu - Uhs18, Portland, OR 97239-3011 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760971246 | Kohleen E Ervin | Dietitian, Registered | 916 Sw 17th St Ste 100, Redmond, OR 97756-2572 | 2018-05-09 |
| 1144547878 | Kay L Harris | Dietitian, Registered | 760 Golf View Dr Unit 200, Medford, OR 97504-9685 | 2010-04-20 |
| 1417282682 | Lois Amy Tobin | Dietitian, Registered | 6902 Se Lake Rd, Suite 302, Milwaukie, OR 97267-2148 | 2009-10-06 |
| 1447423132 | Therese L Olsen | Dietitian, Registered | 930 Sw Abbey St, Newport, OR 97365-4820 | 2008-04-02 |
Please comment or provide details below to improve the information on PAULA J. STAAB.
| 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.