Individual provider Active NPI

Christine Louise Altamirano, RDN

  • Registered Dietitian
  • Portland, OR
National Provider Identifier
1316729536
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD-D-10235411 Issued in OR
Practice address
2525 NW Lovejoy St Ste 300
Portland, OR 97210-2864
Phone
(503) 847-9952
NPI assigned
Oct 23, 2023
Last updated
Sep 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LD-D-10235411 OR Primary

Addresses

Primary practice location

2525 NW Lovejoy St Ste 300
Portland, OR 97210-2864

Mailing address

1055 N Anchor Way Apt 243
Portland, OR 97217-7574
Phone (209) 298-9713

Other practice location 1

10803 SE Cherry Blossom Dr
Portland, OR 97216-3107
Phone (503) 847-9952

Other practice location 2

400 NE Roberts Ave
Gresham, OR 97030-7464
Phone (503) 847-9952

Other practice location 3

4212 NE Broadway
Portland, OR 97213-1422
Phone (503) 847-9952

Other practice location 4

10424 SE Cherry Blossom Dr Ste B1
Portland, OR 97216-2801
Phone (503) 847-9952

Other names 1

  • Christine Louise Mullen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231116000403 OR Practitioner - Registered Dietitian Or Nutrition Professional 6406203280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
University of Utah School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valeria Health LLCGroup PAC ID 6406196583, 4 clinicians

Practice addresses (Care Compare)

10424 SE Cherry Blossom Dr
Suite B1
Portland, OR 97216-2801
Phone (503) 847-9952

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LD-D-10235411ORMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Valeria Health, LLC Dietitian, Registered CurrentSince Nov 16, 2023 Accepting new patients
Roberts Street Clinic, P.C. PastSince Oct 22, 2013 Accepting new patients
South Tabor Family Physicians Past Accepting new patients

Locations

400 NE Roberts Ave
Gresham, OR 97030
Phone (503) 665-9144

10424 SE Cherry Blossom Dr
Ste B1
Portland, OR 97216
Phone (503) 522-3272

10803 SE Cherry Blossom Dr
Portland, OR 97216
Phone (503) 261-7210

2525 NW Lovejoy St
Ste 300
Portland, OR 97210
Phone (503) 227-4050

4212 NE Broadway
Portland, OR 97213
Phone (503) 249-8787

500 SW 116 Ave
Fl 4
Portland, OR 97225

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1316729536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 N ANCHOR WAY APT 243",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972177574",
            "telephone_number": "209-298-9713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 NW LOVEJOY ST STE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102864",
            "telephone_number": "503-847-9952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10803 SE Cherry Blossom Dr",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972163107",
            "country_code": "US",
            "telephone_number": "503-847-9952",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 NE Roberts Ave",
            "address_purpose": "LOCATION",
            "city": "Gresham",
            "state": "OR",
            "postal_code": "970307464",
            "country_code": "US",
            "telephone_number": "503-847-9952",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4212 NE Broadway",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972131422",
            "country_code": "US",
            "telephone_number": "503-847-9952",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10424 SE Cherry Blossom Dr Ste B1",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972162801",
            "country_code": "US",
            "telephone_number": "503-847-9952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALTAMIRANO",
        "first_name": "CHRISTINE",
        "middle_name": "LOUISE",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-23",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "LD-D-10235411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "MULLEN",
            "middle_name": "LOUISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.