Active NPI
Cooper Zeiss Roberts
- Registered Dietitian
- Portland, OR
National Provider Identifier
1376456863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 10182121
- Practice address
- 1560 NE 52ND Ave
Portland, OR 97213-2724 - Phone
- (503) 913-7212
- NPI assigned
- Sep 24, 2026
- Last updated
- Oct 5, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 10182121 | OR | Primary |
Addresses
Primary practice location
1560 NE 52ND Ave
Portland, OR 97213-2724
Mailing address
1560 NE 52ND Ave
Portland, OR 97213-2724
Phone (503) 913-7212
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791158400000",
"number": "1376456863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1560 NE 52ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972132724",
"telephone_number": "503-913-7212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1560 NE 52ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972132724",
"telephone_number": "503-913-7212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "COOPER",
"middle_name": "ZEISS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-24",
"last_updated": "2026-10-05",
"certification_date": "2026-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OR",
"license": "10182121",
"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 Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.