MLB NUTRITION & WELLNESS, LLC
NPI 1124397062
Dietitian, Registered - Nutrition, Metabolic in Portland, OR

NPI Status: Active since December 21, 2011

Contact Information

10101 SE MAIN ST
PORTLAND, OR
ZIP 97216
Phone: (917) 680-2820

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  • Organization
  • Dietitian, Registered
  • Nutrition, Metabolic

About MLB NUTRITION & WELLNESS, LLC

This page provides the complete NPI Profile along with additional information for Mlb Nutrition & Wellness, Llc, a provider established in Portland, Oregon operating as a Dietitian, Registered, focusing in nutrition, metabolic . The healthcare provider is registered in the NPI registry with number 1124397062 assigned on December 2011. The practitioner's primary taxonomy code is 133VN1006X with license number LDD10144515 (OR). The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Ms. Melissa Lynn Bollman M.s., R.d. (President)

NPI
1124397062
Provider Name
MLB NUTRITION & WELLNESS, LLC
Entity Type
Organization
Location Address
10101 SE MAIN ST PORTLAND, OR 97216
Location Phone
(917) 680-2820
Mailing Address
5071 W SUNSET DR LAKE OSWEGO, OR 97035
Mailing Phone
(917) 680-2820
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-21-2011
Last Update Date
12-21-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dietitian, Registered Nutrition, Metabolic

Taxonomy Code
133VN1006X
Type
Dietary & Nutritional Service Providers
License No.
LDD10144515
License State
OR
Taxonomy Description
A registered dietitian who achieves specialized competency in metabolic nutrition.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. MELISSA LYNN BOLLMAN M.S., R.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(917) 680-2820

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1124397062
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21446914012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 4 + 4 + 6 + 9 + 1 + 4 + 0 + 1 + 2 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1124397062 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1275534869DR. DAVID NORMAN CAROTHERS DDS
Individual
Dentist10101 SE MAIN ST SUITE 3009
PORTLAND, OR 97216
(503) 257-3033
1033165188 DEIDRE WEILER ANP
Individual
Nurse Practitioner (Adult Health)10101 SE MAIN ST SUITE 1001
PORTLAND, OR 97216
(503) 419-6001
1013923788CARTER NOLAND MD PC
Organization
Ophthalmology10101 SE MAIN ST SUITE 3001
PORTLAND, OR 97216
(503) 255-2667
1073523064DR. E. ROBERT WELLS M.D.
Individual
Specialist10101 SE MAIN ST SUITE 3008
PORTLAND, OR 97216
(503) 253-1223
1740353796COLUMBIA ORTHOPAEDIC ASSOCIATES PC
Organization
Specialist10101 SE MAIN ST STE 3008
PORTLAND, OR 97216
(503) 253-1223
1598822835DR. DARRELL CAMERON BRETT M.D.
Individual
Specialist10101 SE MAIN ST 1006
PORTLAND, OR 97216
(503) 253-4000
1124213038NANCY K DOUGHERTY MDPC
Organization
Family Medicine10101 SE MAIN ST STE 1004
PORTLAND, OR 97216
(503) 255-0109
1821286543CRAIG P. GREENBERG, M.D.
Organization
Internal Medicine (Endocrinology, Diabetes & Metabolism)10101 SE MAIN ST SUITE 3012
PORTLAND, OR 97216
(503) 255-3404
1790964062CHARLES TODD WOOLLEY MD PC
Organization
Specialist10101 SE MAIN ST SUITE 3008
PORTLAND, OR 97216
(503) 253-3268
1629230511DAVID J SARGENT, MD, PC
Organization
Specialist10101 SE MAIN ST SUITE 2015
PORTLAND, OR 97216
(503) 261-2977
1962657148DR. RIKKI P GREEN AU.D.
Individual
Audiologist10101 SE MAIN ST #2004
PORTLAND, OR 97216
(503) 257-3204
1689812430MT. HOOD IMAGING, LLC
Organization
Clinic/Center (Medical Specialty)10101 SE MAIN ST SUITE 2004
PORTLAND, OR 97216
(503) 257-3204
1356650949ARNOLD L PETERSEN II MD PC
Organization
Obstetrics & Gynecology10101 SE MAIN ST SUITE 2011
PORTLAND, OR 97216
(503) 256-0890
1548558323GREGORY GULLO, MD PC
Organization
Specialist10101 SE MAIN ST SUITE 2014
PORTLAND, OR 97216
(503) 512-1212
1316940075DR. JOHN W. GRIFFIN M.D.
Individual
Internal Medicine (Rheumatology)10101 SE MAIN ST STE 2001
PORTLAND, OR 97216
(503) 256-2216
1083653679 WILLIAM C. CHAPIN MD
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)10101 SE MAIN ST SUITE 1001
PORTLAND, OR 97216
(503) 255-3404
1558336958 JOSEPH S MALLOV M.D
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)10101 SE MAIN ST SUITE 1001
PORTLAND, OR 97216
(503) 255-3404
1770524480 AMY KARYL KINZIE ANP
Individual
Nurse Practitioner (Adult Health)10101 SE MAIN ST #1001
PORTLAND, OR 97216
(503) 255-3404
1114920055DR. WILFRED ARTHUR GESCHKE M.D.
Individual
Internal Medicine (Hematology)10101 SE MAIN ST SUITE 1012
PORTLAND, OR 97216
(503) 256-3627
1942490875 EMMY BRANDON DPT
Individual
Physical Therapist10101 SE MAIN ST PB2
PORTLAND, OR 97216
(503) 251-6100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124397062, enumerated in the NPI registry as an "organization" on December 21, 2011

The provider is located at 10101 Se Main St Portland, Or 97216 and the phone number is (917) 680-2820

This medical organization specializes in Dietitian, Registered with taxonomy code 133VN1006X with a focus in Nutrition, Metabolic

This NPI record was last updated on December 21, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.