ROBERT WILSON (NPI# 1831506815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831506815 |
Entity Type | Individual |
Full Name | ROBERT WILSON |
Other Name | MR. ROBERT MARK WILSON |
Practice Address |
7201 N Interstate Ave Portland OR 97217-5523 |
Practice Telephone | 5032404088 |
Mailing Telephone | 5032404088 |
Enumeration Date | 2014-07-22 |
Last Update Date | 2014-07-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 136A00000X | Dietetic Technician, Registered | 525079 | IL | Dietary & Nutritional Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164957668 | Robert Wilson | Pharmacist | 11950 De Palma Rd, Corona, CA 92883-8499 | 2017-04-22 |
1487020566 | Robert Wilson | Acupuncturist | 537 W Washington St, Marquette, MI 49855-4133 | 2015-08-12 |
1205247129 | Robert Norman Wilson IIi | Student in an Organized Health Care Education/Training Program | Gru College of Dental Medicine, Augusta, GA 30912-0001 | 2014-05-13 |
1477971885 | Robert Borden Wilson | Pediatrics | 2300 Hospital Dr Ste 120, Bossier City, LA 71111-2193 | 2014-04-02 |
1922362888 | Robert Travis Wilson | Emergency Medicine | 517 Kerri Cove Ct Apt 104, Midlothian, VA 23113-6873 | 2012-06-26 |
1144589458 | Robert Wilson | Chiropractor | 132a N Central Ave, Centerville, TN 37033 | 2012-05-07 |
1649575937 | Robert George Wilson | Military Health Care Provider | 515 Tessentee Rd, Franklin, NC 28734 | 2011-01-18 |
1396078317 | Robert Max Wilson | Case Manager/Care Coordinator | 618 Manzano Ne, Albuquerque, NM 87110 | 2009-09-09 |
1013140672 | Robert James Wilson | Dentist | 1321 N Tennessee St, # 108, Mckinney, TX 75069-2142 | 2009-08-31 |
1417189994 | Robert P Wilson Jr. | Physical Therapist | 225 Evergreeen Road, Pottstown, PA 19464 | 2009-08-17 |
Street Address |
7201 N INTERSTATE AVE |
City | PORTLAND |
State | OR |
Zip Code | 97217-5523 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831113646 | David Russell Hill | Dentist | 7201 N Interstate Ave, Portland, OR 97217-5523 | 2006-07-26 |
1336703198 | Vanessa Joan Grant | Dental Assistant | 7201 N Interstate Ave, Portland, OR 97217-5523 | 2019-04-26 |
1083102248 | Antonina Kutsar | Dental Assistant | 7201 N Interstate Ave, Portland, OR 97217-5523 | 2018-04-24 |
1245728427 | Kerri Logue | Dental Assistant | 7201 N Interstate Ave, Portland, OR 97217-5523 | 2018-04-24 |
1881146165 | Kaiser Foundation Health Plan of The Northwest | Dentist | 7201 N Interstate Ave, Portland, OR 97217-5523 | 2016-11-02 |
1194172239 | Cindy Brooke Firman | Dietitian, Registered | 7201 N Interstate Ave, Portland, OR 97217-5523 | 2016-05-18 |
1861846578 | Soroush Amali | Dentist | 7201 N Interstate Ave, Portland, OR 97217-5523 | 2016-04-19 |
1699154302 | Nancy Graham | Dietitian, Registered | 7201 N Interstate Ave, Portland, OR 97217-5523 | 2015-05-27 |
1003206236 | Melissa Dawn Hill | Counselor | 7201 N Interstate Ave, Portland, OR 97217-5523 | 2015-01-26 |
1053669838 | Katarzyna Teegarden | Dental Hygienist | 7201 N Interstate Ave, Portland, OR 97217-5523 | 2012-08-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326531666 | Working Class Medicine LLC | Clinic/Center | 2133 N. Willis Blvd, Studio D, Portland, OR 97217 | 2018-06-12 |
1235643602 | Autism Outreach of Oregon | Occupational Therapist | 10350 N Vancouver Way #1043, Portland, OR 97217 | 2017-11-21 |
1689183717 | Kai-uwe H. Hahn Dmd Dba Edelweiss Dental | Clinic/Center | 3503 N Lombard Street, Portland, OR 97217 | 2017-09-20 |
1407308125 | Occupational Health Centers of The Southwest, P.a. (tx) | Clinic/Center | 3449 N Anchor Street, Ste 300a, Portland, OR 97217 | 2016-10-28 |
1750740577 | Sheila Amoo | Adult Companion | 236 N Killingworth St. Apt.b104, Portland, OR 97217 | 2016-02-22 |
1801282199 | Justine Osborn | Specialist | 4310 N. Interstate Ave, Portland, OR 97217 | 2015-04-13 |
1578957742 | Paul Buck Md, Dds, PC | Clinic/Center | 3332 N Lombard St, Suite C, Portland, OR 97217 | 2015-03-25 |
1295158186 | Rebecca Bulleri | Massage Therapist | 5416 N. Maryland Ave, Portland, OR 97217 | 2014-01-28 |
1659793107 | Shellmire Unlimited, P.C. | Community/Behavioral Health | 4134 N Vancouver Avenue, Suite 102, Portland, OR 97217 | 2014-01-16 |
1417207994 | Sportland Acupuncture LLC | Acupuncturist | 1025 N Humboldt, Portland, OR 97217 | 2012-09-12 |
Find all providers in zip 97217 |
Taxonomy Code | 136A00000X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietetic Technician, Registered |
A person trained in food and nutrition who is an integral part of health care and foodservice management teams. A dietetic technician, registered (DTR) has successfully completed at least a two-year associate’s degree at a US regionally accredited college or university; a dietetic technician program approved by The American Dietetic Association, including 450 hours of supervised practice experience; 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 Dietetic Technician, Registered -- a food and nutrition practitioner. Chicago, IL: The American dietetic association, July 1997. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912275009 | Kendra J Madsen | Dietetic Technician, Registered | 3517 Nw Samaritan Dr Ste 200, Corvallis, OR 97330-3767 | 2011-12-05 |
1295974517 | Kathleen Bosler | Dietetic Technician, Registered | 351 Sw 9th St, Ontario, OR 97914-2639 | 2009-02-10 |
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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.