Yulia Brockdorf, RD LD CD LPC BCADM

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

594 Issued in OR

Practice address

428 SW Oak St
Hillsboro, OR 97123-3936

Phone

(503) 577-5845

Fax

(503) 844-6545

NPI assigned

Nov 15, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clarity Therapy Solutions

  • Counselor
  • Hillsboro, OR
  • NPI 1700622149

  Professional

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510704000000",
    "number": "1053483024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 SW OAK ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971233936",
            "telephone_number": "503-577-5845",
            "fax_number": "503-844-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 SW OAK ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971233936",
            "telephone_number": "503-577-5845",
            "fax_number": "503-844-6545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKDORF",
        "first_name": "YULIA",
        "credential": "RD LD CD LPC BCADM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2017-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C4518",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Oberlin Brinker, PHYSICAL THERAPIST
• Sydney Catherine Briot, CSWA
• Courtney Briscoe
• Jennifer Lynn Brissenden, QMHA, CADC I
• Cameron John Brock, PHARMD
• Rachel Germaine Broderick, RDH, EPDH
• Trina A Brodsky, MD
• Christina M Brogna, D.C.
• Kaitlin Brooke, MD
• Jessica Brookens

• Registered Dietitian in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Registered Dietitian in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.