Organization Active NPI

Mikalah Barem Nutrition LLC

  • Health Service Clinic/Center
  • Portland, OR
National Provider Identifier
1508684648
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
MIKALAH BAREM NUTRITION LLC
Practice address
5334 N Missouri Ave
Portland, OR 97217-2546
Phone
(360) 540-3735
NPI assigned
Sep 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Authorized official

Name
Mikalah A Barem, RD, CDNPI 1740952050
Title
Registered Dietitian
Phone
(360) 540-3735

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

5334 N Missouri Ave
Portland, OR 97217-2546

Mailing address

5334 N Missouri Ave
Portland, OR 97217-2546
Phone (360) 540-3735

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1508684648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5334 N MISSOURI AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972172546",
            "telephone_number": "360-540-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5334 N MISSOURI AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972172546",
            "telephone_number": "360-540-3735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKALAH BAREM NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-27",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "BAREM",
        "authorized_official_first_name": "MIKALAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "360-540-3735",
        "authorized_official_credential": "RD, CD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "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 Sep 27, 2024; 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.