Optimal Nutrition

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

License

107678997 Issued in OR

Legal business name

OPTIMAL NUTRITION

Practice address

731 Kalugin CT
Molalla, OR 97038-8815

Phone

(503) 706-2696

Fax

(866) 344-7774

NPI assigned

Jan 13, 2015

Last updated

Jan 14, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anna K Reutov

Title

Dietitian Nutritional Therapist

Phone

(503) 706-2696

Specialties & licenses 2

Addresses

Other names 1

• Optimal Nutrition Other name

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1386033488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 KALUGIN CT",
            "city": "MOLALLA",
            "state": "OR",
            "postal_code": "970388815",
            "telephone_number": "503-706-2696",
            "fax_number": "866-344-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 KALUGIN CT",
            "city": "MOLALLA",
            "state": "OR",
            "postal_code": "970388815",
            "telephone_number": "503-706-2696",
            "fax_number": "866-344-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-13",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "REUTOV",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIETITIAN NUTRITIONAL THERAPIST",
        "authorized_official_telephone_number": "503-706-2696"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "OR",
            "license": "107678997",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "107678997",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimal Nutrition",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lacee L Muffett, RPH
• Jon Ross Nichols, DC
• NW Dental Clinic, LLC
• Timothy Kevin O'Connor
• Olesya Z. Salathe, DMD, LLC
• Marfa Ovchinnikov
• Paul M Baumgartner DDS PC
• Kimberly Peters, LCSW
• Jamie Lelile Pierce, M.ED., BCBA, LBA
• Post Dental Group LLC

• Nutrition Education Nutritionist in Molalla, OR
• Providers in Molalla, OR by specialty
• Nutrition Education Nutritionist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.

Verify at the official NPI Registry.