Organization Active NPI

Lifestyle Nutrition Counseling, LLC

  • Registered Dietitian
  • Lake Oswego, OR
National Provider Identifier
1144563495
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
LIFESTYLE NUTRITION COUNSELING, LLC
Practice address
17437 Boones Ferry Rd
Suite 300
Lake Oswego, OR 97035-6201
Phone
(503) 699-6948
NPI assigned
Apr 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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

Authorized official

Name
Tobi Page, MS, RD
Title
Owner
Phone
(503) 327-3279

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

17437 Boones Ferry Rd
Suite 300
Lake Oswego, OR 97035-6201

Mailing address

17437 Boones Ferry Rd
Suite 300
Lake Oswego, OR 97035-6201
Phone (503) 699-6948

National Provider Directory

National Provider Directory

Locations

17437 Boones Ferry Rd
Ste 300
Lake Oswego, OR 97035
Phone (503) 699-6948

12511 SW 68th Ave
Ste 200B
Portland, OR 97223
Phone (503) 850-8105

NPI Registry JSON

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1144563495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17437 BOONES FERRY RD",
            "address_2": "SUITE 300",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970356201",
            "telephone_number": "503-699-6948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17437 BOONES FERRY RD",
            "address_2": "SUITE 300",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970356201",
            "telephone_number": "503-699-6948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLE NUTRITION COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-04",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "TOBI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-327-3279",
        "authorized_official_credential": "MS, RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; 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.