Jacqueline Marie Mular, MS, RD, LMFT

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

10175520 Issued in OR

Practice address

20255 Willamette Dr
West Linn, OR 97068-2027

Phone

(323) 496-5552

Fax

(503) 715-4918

NPI assigned

Nov 16, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1508335704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 TOUCHSTONE APT 107",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970351963",
            "telephone_number": "323-496-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20255 WILLAMETTE DR",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970682027",
            "telephone_number": "323-496-5552",
            "fax_number": "503-715-4918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULAR",
        "first_name": "JACQUELINE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MS, RD, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-16",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "10175520",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T1459",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Momentum Wellness and Performance
• Alice Moody, PSY.D.
• Christopher J Morgan, M.D.
• Melissa Morlan, P.T.
• Alyssa Morrow, DO, MPH
• Eleanor Munoz, O.D.
• Josephine Munoz, LMT
• Brenda Kay Myrick
• Laine Neal
• Harmony Rachel Nelson, RN

• Registered Dietitian in West Linn, OR
• Providers in West Linn, OR by specialty
• Registered Dietitian in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.