GREGORY LEE LUM (NPI# 1376057448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376057448 |
| Entity Type | Individual |
| Full Name | GREGORY LEE LUM |
| Credential | RD |
| Practice Address |
1175 Mount Hood Ave Woodburn OR 97071-9060 |
| Mailing Address |
1565 Whitaker Dr Se Apt 259 Salem OR 97317-6031 |
| Practice Telephone | 5039822006 |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2017-11-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | LD-D-10187668 | OR | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770789844 | Gregory R Lum | Dentist | 800 W Winton Ave, Hayward, CA 94545-1519 | 2007-06-25 |
| 1659839728 | Gregory Lum | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2019-03-07 |
| 1366554537 | Gregory Lum | Pediatrics | 15000 Los Gatos Blvd, Ste. 3, Los Gatos, CA 95032-2017 | 2006-08-31 |
| Street Address |
1175 MOUNT HOOD AVE |
| City | WOODBURN |
| State | OR |
| Zip Code | 97071-9060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235119348 | Cathy Pierce Zehrung | Pharmacist | 1175 Mount Hood Ave, Woodburn, OR 97071-9060 | 2006-01-17 |
| 1417519240 | Omar Avila Vazquez | Pharmacist | 1175 Mount Hood Ave, Woodburn, OR 97071-9060 | 2019-07-02 |
| 1538722616 | Lyudmila Likhonina | Physician Assistant | 1175 Mount Hood Ave, Woodburn, OR 97071-9060 | 2019-04-15 |
| 1821569039 | Shannon Pearson | Pharmacist | 1175 Mount Hood Ave, Woodburn, OR 97071-9060 | 2018-12-16 |
| 1225525439 | Laboratory Corporation of America | Clinical Medical Laboratory | 1175 Mount Hood Ave, Woodburn, OR 97071-9060 | 2018-04-13 |
| 1194228551 | Stephen Crum | Physician Assistant | 1175 Mount Hood Ave, Woodburn, OR 97071 | 2018-03-13 |
| 1073037123 | Katherine Hunter Smith | Registered Nurse | 1175 Mount Hood Ave, Woodburn, OR 97071-9060 | 2017-07-31 |
| 1083135834 | Sylvia Walsh | Pharmacist | 1175 Mount Hood Ave, Woodburn, OR 97071-9060 | 2017-07-02 |
| 1316390727 | Anayeli Franco Torres | Registered Nurse | 1175 Mount Hood Ave, Woodburn, OR 97071-9060 | 2016-07-20 |
| 1255783783 | Huong Truong | Dentist | 1175 Mount Hood Ave, Woodburn, OR 97071-9060 | 2016-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629628839 | Carla Frances Halvorson | Technician | 955 Carol St Apt D, Woodburn, OR 97071 | 2019-09-19 |
| 1851801856 | Angela Hill | Massage Therapist | 564 Ray J Glatt Cirle, Woodburn, OR 97071 | 2017-10-04 |
| 1154713295 | Theresa Donavant-butler | Massage Therapist | 564 Glatt Circle, Woodburn, OR 97071 | 2015-02-26 |
| 1710257878 | Darlene Jost-babin | Counselor | 693 Ray J Glatt Circle, Woodburn, OR 97071 | 2012-01-06 |
| 1932401437 | Marcelino Mauro Vera Ramirez | Chiropractor | 844 Pana Street, Woodburn, OR 97071 | 2010-12-03 |
| 1801110994 | Woodburn Cosmetic & Family Dentistry P.C. | Dentist | 1018 N. Boones Ferry Rd., Woodburn, OR 97071 | 2010-03-18 |
| 1568786911 | Woodburn Dental Group, P.C. | Dentist | 1034 N. Boones Ferry Rd., Woodburn, OR 97071 | 2010-03-15 |
| 1134384985 | Roberto Diaz Camarillo | Counselor | 399 Young Street, Woodburn, OR 97071 | 2008-07-22 |
| 1447431705 | Patricia Eddy | Physical Therapist | 1475 Mt Hood Avenue, Woodburn, OR 97071 | 2007-11-15 |
| 1992926471 | Marquis Physical Therapy & Spine Rehab, PC | Physical Therapist | 2241 Country Club Rd, Woodburn, OR 97071 | 2007-05-01 |
| Find all providers in zip 97071 | ||||
| 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 |
|---|---|---|---|---|
| 1538427703 | Cassandra Dawn Jolley | Dietitian, Registered | 1475 Mount Hood Ave, Woodburn, OR 97071-9066 | 2012-04-25 |
| 1972880052 | Nora Katherine Miller Blackwell | Dietitian, Registered | 1175 Mount Hood Ave, Woodburn, OR 97071-9060 | 2011-11-03 |
| 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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| 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.