PNW Nutrition and Recovery

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PNW NUTRITION AND RECOVERY

Practice address

2455 NW Marshall St Ste 7
Portland, OR 97210-2949

Phone

(310) 906-8950

NPI assigned

May 13, 2024

Organization subpart

No

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

Authorized official

Name

Samara L Roman-Holba, MS, EDM, RDNPI 1417612151

Title

Owner

Phone

(310) 906-8950

Specialties & licenses 1

Addresses

Practitioners 1

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

• Samara Lily Roman-Holba, MS, EDM, RD, LD

  • Registered Dietitian
  • Portland, OR
  • NPI 1417612151
  NPD Authorized official

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1942059050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2241 NW PETTYGROVE ST APT 7",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102685",
            "telephone_number": "310-906-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 NW MARSHALL ST STE 7",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102949",
            "telephone_number": "310-906-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PNW NUTRITION AND RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "ROMAN-HOLBA",
        "authorized_official_first_name": "SAMARA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-906-8950",
        "authorized_official_credential": "MS, EDM, RD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pluto Mental Health LLC
• Brittany Marie Plymell, DC
• Pneuma Counseling, LLC
• PNW Management Group
• PNW Massage and Acupuncture LLC
• PNW Psychiatric Services Professional Corporation
• PNW Spine and Joint Physicians
• PNW-ADHD Clinic
• Hunter Poarch
• Jennifer Therese Poat, MA, RCII

• Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.