Active NPI
Mary Arakelian Nordlund, R.D.,C.D.E.
- Nutrition Education Nutritionist
- Portland, OR
National Provider Identifier
1720167638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- License
- R394157
- Practice address
- 7201 N Interstate Ave
Portland, OR 97217-5523 - Phone
- (503) 286-6816
- NPI assigned
- Nov 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | R394157 | OR | Primary |
Addresses
Primary practice location
7201 N Interstate Ave
Portland, OR 97217-5523
Mailing address
3670 SE 150TH Ave
Portland, OR 97236-2424
Phone (503) 760-8429
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R394157 | OR | MD | Nutrition Education Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720167638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3670 SE 150TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972362424",
"telephone_number": "503-760-8429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7201 N INTERSTATE AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972175523",
"telephone_number": "503-286-6816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORDLUND",
"first_name": "MARY",
"middle_name": "ARAKELIAN",
"name_prefix": "Mrs.",
"credential": "R.D.,C.D.E.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "OR",
"license": "R394157",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.