Nora Gedgaudas

Primary specialty

NutritionistTaxonomy code 133N00000X

License

000400 Issued in WA

Practice address

1920 NW Johnson St
Suite #123
Portland, OR 97209-1325

Phone

(503) 274-7733

Fax

(503) 274-7770

NPI assigned

Mar 21, 2011

Last updated

Mar 21, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300665600000",
    "number": "1063711711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 NORTH WEST JOHNSON STREET",
            "address_2": "SUITE #123",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97209",
            "telephone_number": "503-274-7733",
            "fax_number": "503-274-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 NW JOHNSON ST",
            "address_2": "SUITE #123",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091325",
            "telephone_number": "503-274-7733",
            "fax_number": "503-274-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEDGAUDAS",
        "first_name": "NORA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-21",
        "last_updated": "2011-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "WA",
            "license": "000400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NUTRITIONIST",
            "identifier": "133N00000X",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura A Geczy-Haskins, M.S.
• Lemlem Gedamu
• Gary Ross Geddes, MD
• Monique Gedenk, MD
• Linda Gedeon, ND
• Mako Gedi
• Kendra Louise Gee-Rodriguez, PHARMD, RPH, BCOP
• Arvin Chun-Yin Gee, MD, PHD
• Debora K Gee, PTA
• Lilith Nyx Gee

• Nutritionist in Portland, OR
• Providers in Portland, OR by specialty
• Nutritionist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.