Active NPI
Corpo Sano Nutrition LLC
- Nutritionist
- Portland, OR
National Provider Identifier
1134513286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 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 DirectoryNPI 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.