MRS. TAMARA LYNN JOHNSON


Address: 525 Madrona Ave, Port Orford, OR 97465-9552
Phone: 5413323861

MRS. TAMARA LYNN JOHNSON (NPI# 1164069951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164069951
Entity Type Individual
Full Name MRS. TAMARA LYNN JOHNSON
Credential MED, RD,LD,CDE
Practice Address 525 Madrona Ave
Port Orford
OR 97465-9552
Practice Telephone 5413323861
Mailing Telephone 5413323861
Mailing Fax Number 5413320250
Enumeration Date 2019-11-29
Last Update Date 2019-11-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered LD-D-10203616 OR Dietary & Nutritional Service Providers

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1609028133 Tamara Bilbo Johnson Behavioral Analyst 352 Old Parksville Trl Se, Cleveland, TN 37323-8706 2008-10-15
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Office Location

Street Address 525 MADRONA AVE
City PORT ORFORD
State OR
Zip Code 97465-9552

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528615564 Joan Anne Mcnerlin Technician 42078 Blanchard Rd, Port Orford, OR 97465 2019-08-23
1326605692 Port Orford- Langlois School District Local Education Agency (LEA) 45525 Hwy 101, Port Orford, OR 97465 2019-05-22
1295869584 Port Orford Community Ambulance Inc Ambulance 552 19th St, Port Orford, OR 97465 2007-03-16
1659862936 Coast Community Health Center Pharmacy 716 Highway 101, Port Orford, OR 97465-8672 2018-05-23
1598301251 Bandon Community Health Ctr Clinic/Center 716 Highway 101, Port Orford, OR 97465-8672 2019-11-18
1568605103 Janine Jason Pediatrics 42338 Parkwood Dr, Port Orford, OR 97465-9528 2009-04-13
1164446589 Thomas E. Pitchford IIi General Practice 525 Madrona Avenue, Port Orford, OR 97465-9552 2006-07-27
1811939093 Curry Health District Clinic/Center 525 Madrona St, Port Orford, OR 97465-9552 2006-06-12
1265478549 Sandra P. Johnson Nurse Practitioner 525 Madrona St, Port Orford, OR 97465-9552 2006-06-22
1588175665 Roger Donald Rasmussen Registered Nurse 17 Hamlet St, Port Orford, OR 97465-9578 2017-10-17
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1952902751 Elise Michelle Edward Dietitian, Registered 5098 Sw Technology Loop Apt 205, Corvallis, OR 97333-1591 2020-11-06
1386245256 Aloura Linfesty Dietitian, Registered 12944 Sw Sara Dr, Gaston, OR 97119-8580 2020-11-05
1699375394 Ashlyn Hiserote Dietitian, Registered 7063 Se Horntail Ln, Hillsboro, OR 97123-2244 2020-10-30
1235739277 Total Body Knowledge Dietitian, Registered 2314 Hempstead St Apt 3, Medford, OR 97501-0259 2020-10-29
1700484805 Christine Charlotte Madzik Dietitian, Registered 655 E 43rd Ave, Eugene, OR 97405-3928 2020-10-12
1578160784 Kristen Bowman Dietitian, Registered 749 Rabbit Run St, Stayton, OR 97383-1697 2020-10-01
1609483064 Alayna Louise Hutchinson Dietitian, Registered 5258 Ne Cleveland Ave, Portland, OR 97211-2614 2020-09-29
1396350229 Chelsea Elizabeth Horvath Dietitian, Registered 2831 Se Palmquist Rd Apt 153, Gresham, OR 97080-5276 2020-09-08
1720692007 Gabrielle Anastasia Humlie Dietitian, Registered 109 W 8th St, Newberg, OR 97132 2020-09-03
1275147670 Karina Ann Inouye Dietitian, Registered 13804 Sw Anna Ct, Tigard, OR 97223-2114 2020-09-02
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Competitor

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City PORT ORFORD
Zip Code 97465

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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