Emily Marie Anthony, RD
Individual provider Active NPI Registered Dietitian · Portland, OR
NPI 1194452797 · NPPES record last updated Aug 3, 2022
Key facts
- NPI
- 1194452797
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 86295196 (OR)
- Practice address
- 3710 SW US Veterans Hospital Rd
Portland, OR 97239-2964 - Phone
- (425) 361-6868
- NPI assigned
- Aug 3, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86295196 | OR | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86295196 | OR | Yes |
Addresses
Primary practice location
3710 SW US Veterans Hospital Rd
Portland, OR 97239-2964
Mailing address
876 SE 59TH Ave
Portland, OR 97215-2001
Phone (425) 361-6868
Other providers in Portland, OR
- David Fernando Antezana
- Anthony M El Youssef DMD PC
- Sarah Anthony-Hilgert
- Ann Anthony
- Emily Ann Anthony
- Lee Michael Anthony
- Melanie Anthony
- Rachel Anthony
- Rachel Anthony
- Rebecca Ann Anthony
All providers in Portland, OR · Registered Dietitian in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.