Individual provider Active NPI

Laura Macmaster Dean, RDN, CLT, IFNCP

  • Registered Dietitian
  • Portland, OR
National Provider Identifier
1699385674
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
D-10223197 Issued in OR
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

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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.

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 1,423 clinicians

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, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
D-10223197ORMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Oregon Current Accepting new patients
Yakima Valley Farm Workers Clinic CurrentSince Sep 27, 2023 Accepting new patients
Providence Health & Services Oregon CurrentSince Mar 25, 2024 Accepting new patients
Providence Health & Services Oregon CurrentSince Mar 25, 2024 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.

Verify at the official NPI Registry.