VALERIA MALLETT (NPI# 1285168435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285168435 |
| Entity Type | Individual |
| Full Name | VALERIA MALLETT |
| Credential | RD |
| Practice Address |
10803 Se Cherry Blossom Dr Portland OR 97216-3107 |
| Mailing Address |
29141 Sw Costa Cir E Wilsonville OR 97070-3067 |
| Practice Telephone | 5038400671 |
| Practice Fax Number | 5035666067 |
| Mailing Telephone | 5038500671 |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2019-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 10182145 | OR | Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 29141 Sw Costa Cir E, Wilsonville, OR 970703067 | 5038500671 | |
| 1417 Se 107th Ave, Portland, OR 972163156 | 5038400671 | 5035666067 |
| 1151 N Adair St, Cornelius, OR 971138900 | 5033595564 | 5033574371 |
| 12705 Se River Rd, Portland, OR 972229799 | 5038400671 | 5035666067 |
| Street Address |
10803 SE CHERRY BLOSSOM DR |
| City | PORTLAND |
| State | OR |
| Zip Code | 97216-3107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649215922 | David Rae Blessing | Family Medicine | 10803 Se Cherry Blossom Dr, Portland, OR 97216-3107 | 2006-06-19 |
| 1598364689 | Zednia Carolina Linares | Dietitian, Registered | 10803 Se Cherry Blossom Dr, Portland, OR 97216-3107 | 2020-10-20 |
| 1982238069 | Leanne Michelle Witek | Dietitian, Registered | 10803 Se Cherry Blossom Dr, Portland, OR 97216-3107 | 2020-02-27 |
| 1225508369 | Valeria Mallett Nutrition LLC | Dietitian, Registered | 10803 Se Cherry Blossom Dr, Portland, OR 97216-3107 | 2018-12-02 |
| 1639697709 | Haley Brooke Moak | Physician Assistant | 10803 Se Cherry Blossom Dr, Portland, OR 97216-3107 | 2017-09-08 |
| 1417223629 | Megan Huang | Dietitian, Registered | 10803 Se Cherry Blossom Dr, Portland, OR 97216-3107 | 2012-04-02 |
| 1457645368 | Nathaneal Bruce Douglas | Family Medicine | 10803 Se Cherry Blossom Dr, Portland, OR 97216-3107 | 2011-06-08 |
| 1417265075 | Alexandra Conner | Physician Assistant | 10803 Se Cherry Blossom Dr, Portland, OR 97216-3107 | 2010-09-16 |
| 1053630756 | Joshua M Reese | Family Medicine | 10803 Se Cherry Blossom Dr, Portland, OR 97216-3107 | 2010-05-20 |
| 1124210430 | Jennifer Marie Stager | Physician Assistant | 10803 Se Cherry Blossom Dr, Portland, OR 97216-3107 | 2007-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316468341 | Accident Care Chiropractic and Massage of Salem | Clinic/Center | 2168 Lancaster Dr. Ne, Portland, OR 97216 | 2017-06-29 |
| 1528508520 | Damone Brown | Peer Specialist | 10209 Se Washington St, Suite D, Portland, OR 97216 | 2017-02-24 |
| 1861937237 | Malachai Investments LLC | Clinical Medical Laboratory | 10,000 Se Main St, Ste 360, Portland, OR 97216 | 2016-12-21 |
| 1881136836 | Krista Marie Darnell | Occupational Therapy Assistant | 1475, Se 100th Avenue, Portland, OR 97216 | 2016-11-08 |
| 1821456559 | Sean Kelly | Counselor | 10564 Se Washington Street, Portland, OR 97216 | 2016-02-09 |
| 1174908321 | Phil Bergland | Counselor | 11220 Se Stark St, Suite 6, Portland, OR 97216 | 2015-07-29 |
| 1134507346 | Beth Lopez | Massage Therapist | 5814 Se Stark Street, Portland, OR 97216 | 2015-05-08 |
| 1982081477 | Amelia C Hunt | Counselor | 10564 Se Washinton Street, Portland, OR 97216 | 2015-05-04 |
| 1073907978 | Karen Ta | Emergency Medicine | 10300 Se Main St, Portland, OR 97216 | 2015-03-27 |
| 1265823298 | Laura Catherine Anderson | Occupational Therapist | 1475 Se 100th Avenue, Portland, OR 97216 | 2015-02-12 |
| Find all providers in zip 97216 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483064 | Alayna Louise Hutchinson | Dietitian, Registered | 5258 Ne Cleveland Ave, Portland, OR 97211-2614 | 2020-09-29 |
| 1558973370 | Kianna Aumiller | Dietitian, Registered | 2167 Sw Yamhill St, Portland, OR 97205-1417 | 2020-08-21 |
| 1255943189 | Lisa Gilmore | Dietitian, Registered | 5214 Sw View Point Ter, Portland, OR 97239-3940 | 2020-08-21 |
| 1346852365 | Amanda Kristine Fredrickson | Dietitian, Registered | 3611 Se 64th Ave., Portland, OR 97206 | 2020-08-20 |
| 1770192353 | Jenice A Powell | Dietitian, Registered | 104 Se 30th Pl, Portland, OR 97214-1915 | 2020-07-29 |
| 1386253698 | Margaret Senic | Dietitian, Registered | 1745 Sw Huntington Ave, Portland, OR 97225-4751 | 2020-07-23 |
| 1881212272 | Emily Ryder | Dietitian, Registered | 624 Nw 20th Ave Apt 1, Portland, OR 97209-1219 | 2020-07-11 |
| 1427686211 | Veena M Manohar | Dietitian, Registered | 1308 Ne Dekum St, Portland, OR 97211-4180 | 2020-03-29 |
| 1841825056 | Allison Leigh Williams | Dietitian, Registered | 7106 Se Raymond Ct, Portland, OR 97206-4439 | 2020-03-08 |
| 1114557782 | House Nine LLC | Dietitian, Registered | 1413 Se Hawthorne Blvd # 1, Portland, OR 97214-3640 | 2020-01-22 |
| Find all providers in PORTLAND | ||||
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| 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.