Active NPI
Laura Macmaster Dean, RDN, CLT, IFNCP
- Registered Dietitian
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- D-10223197
- Practice address
- 8935 SE Powell Blvd
Portland, OR 97266-1938 - Phone
- (503) 772-4335
- NPI assigned
- Aug 5, 2020
- Sex
- Female
- Sole proprietor
- No
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 | D-10223197 | OR | Primary |
Addresses
Primary practice location
8935 SE Powell Blvd
Portland, OR 97266-1938
Mailing address
8935 SE Powell Blvd
Portland, OR 97266-1938
Phone (503) 772-4335
Other practice location 1
1120 W Rose St.
Walla Walla, WA 99362
Phone (509) 525-6650 ext. 5297
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ldean34155@yvfwc.direct-ci.com | Direct |
Organizations & group practices 8
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Yakima, WA
- NPI 1295788602
WA
-
- Clinic/Center
- Portland, OR
- NPI 1003319724
-
- Internal Medicine Physician
- Portland, OR
- NPI 1164623401
-
- Pediatrics Physician
- Longview, WA
- NPI 1104097906
-
- Psychiatry Physician
- Portland, OR
- NPI 1760177737
-
- Internal Medicine Physician
- Oregon City, OR
- NPI 1992138309
-
- Federally Qualified Health Center (FQHC)
- Pasco, WA
- NPI 1235265455
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Providence Health and Services Oregon
Practice addresses (Care Compare)
4004 Kruse Way PL
Suite 300
Lake Oswego, OR 97035-2479
Phone (503) 216-1500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, OR
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231110000919 | WA | Practitioner - Registered Dietitian Or Nutrition Professional | 1658728720 | Reassigns benefits to 1 organization |
| I20231120003003 | OR | Practitioner - Registered Dietitian Or Nutrition Professional | 1658728720 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D-10223197 | OR | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Yakima Valley Farm Workers Clinic | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Yakima Valley Farm Workers Clinic | Current | Accepting new patients |
Locations
4004 Kruse Way Pl
Ste 300
Lake Oswego, OR 97035
Phone (503) 216-1500
4920 N Interstate Ave
Portland, OR 97217
Phone (503) 215-3300
5050 NE Hoyt St
Ste 454
Portland, OR 97213
Phone (503) 215-6405
1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250
713 Memorial St
Prosser, WA 99350
Phone (509) 786-1931
1120 W Rose St
Walla Walla, WA 99362
Phone (509) 525-6650
3801 Kern Rd
Yakima, WA 98902
Phone (509) 574-3200
602 E Nob Hill Blvd
Yakima, WA 98901
Phone (509) 248-3334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698364800000",
"number": "1699385674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8935 SE POWELL BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972661938",
"telephone_number": "503-772-4335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8935 SE POWELL BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972661938",
"telephone_number": "503-772-4335"
}
],
"practiceLocations": [
{
"address_1": "1120 W Rose St.",
"address_purpose": "LOCATION",
"city": "Walla Walla",
"state": "WA",
"postal_code": "99362",
"country_code": "US",
"telephone_number": "509-525-6650 x5297",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEAN",
"first_name": "LAURA",
"middle_name": "MACMASTER",
"credential": "RDN, CLT, IFNCP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-05",
"last_updated": "2023-10-27",
"certification_date": "2023-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OR",
"license": "D-10223197",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ldean34155@yvfwc.direct-ci.com",
"affiliation": "N",
"endpointDescription": "YVFWC Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "8935 SE Powell Blvd",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972661938",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.