Organization Active NPI

Corpo Sano Nutrition LLC

  • Nutritionist
  • Portland, OR
National Provider Identifier
1134513286
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Legal business name
CORPO SANO NUTRITION LLC
Practice address
5331 SW Macadam Ave
Suite 380
Portland, OR 97239-6104
Phone
(503) 894-9118
NPI assigned
Mar 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Authorized official

Name
Ms. Rebecca E Ross, NTP
Title
Nutritional Therapy Practitioner
Phone
(971) 270-4977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193400000X SINGLE SPECIALTY GROUP 133N00000X Primary

Addresses

Primary practice location

5331 SW Macadam Ave
Suite 380
Portland, OR 97239-6104

Mailing address

1955 SE Morrison St
Apt 208
Portland, OR 97214-2782
Phone (971) 270-4977

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1134513286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 SE MORRISON ST",
            "address_2": "APT 208",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142782",
            "telephone_number": "971-270-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5331 SW MACADAM AVE",
            "address_2": "SUITE 380",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972396104",
            "telephone_number": "503-894-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORPO SANO NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-26",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "NUTRITIONAL THERAPY PRACTITIONER",
        "authorized_official_telephone_number": "971-270-4977",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NTP"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.