Raquel Rose, R.D.N.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

10187067 Issued in OR

Practice address

2029 SE Jefferson St Ste 103
Milwaukie, OR 97222-7605

Phone

(503) 825-0075

NPI assigned

Jul 22, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Raquel Reyes Former name

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Everybody Wellness, LLC

  • Health Service Clinic/Center
  • Portland, OR
  • NPI 1801452818
  NPD Authorized official
• Portland Pediatric Nutrition

  • Registered Dietitian
  • Portland, OR
  • NPI 1972012409

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1386097541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 LAFAYETTE AVE",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970453814",
            "telephone_number": "503-616-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2029 SE JEFFERSON ST STE 103",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227605",
            "telephone_number": "503-825-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "RAQUEL",
        "credential": "R.D.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-22",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": "86020670",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "10187067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAQUEL",
            "last_name": "REYES",
            "credential": "R.D.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michelle L K Rogers, PHYSICAL THERAPIST
• Erin Stephanie Rohde, SLP
• Margaret Joan Rollo, PHYSICAL THERAPIST
• Jenna Louise Romano, PT, DPT
• Linda Carolyn Rose, SPEECH LANGUAGE PATH
• Jack Philip Rosoff, M.D.
• Jonathan N Roth, CRNA
• Edward H. Rothberger, M.D.
• Stephanie Marie Rothstein, COTA
• Benjamina N. Rowe Brown, MD

• Registered Dietitian in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Registered Dietitian in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.