Address: 5506 Se Lexington St, Portland, OR 97206-9024

ANGELA BUBLIK (NPI# 1053900043) 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) 1053900043
Entity Type Individual
Gender Female
Practice Address 5506 Se Lexington St
OR 97206-9024
Practice Telephone 9713133778
Mailing Address 5506 Se Lexington St
OR 97206-9024
Mailing Telephone 9713133778
Certification Date 2021-01-13
Enumeration Date 2021-01-13
Last Update Date 2021-01-13
Is Sole Proprietor Y


Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 133N00000X Nutritionist NU60903817 WA Dietary & Nutritional Service Providers

Office Location

Street Address 5506 SE LEXINGTON ST
State OR
Zip Code 97206-9024

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1346852365 Amanda Kristine Fredrickson Dietitian, Registered 3611 Se 64th Ave., Portland, OR 97206 2020-08-20
1578108940 Amy Groulx Technician · Attendant Care Provider 5506 Se Mitchell St, Portland, OR 97206 2019-11-08
1477061265 Lisa Marie Matejka Naturopath 5235 Se Lambert St, Apt. #b6, Portland, OR 97206 2018-01-16
1639625205 Mollie Kathleen Pence · Mollie Kathleen Gardner Registered Nurse 2415 43rd Ave, Suite 100, Cascadia Behavioral Healthcare Urgent Walkin Clinic, Portland, OR 97206 2016-09-01
1457709164 Lauren Murdoch Massage Therapist 4629 Southeast Woodstock Boulevard, Portland, OR 97206 2016-06-03
1962897785 Meigra Simon LLC Mechanotherapist 6842 Se Henry St, Portland, OR 97206 2015-03-30
1891186508 Teresa Leckron-Myers Case Manager/Care Coordinator 7916 Se Foster Rd, Portland, OR 97206 2015-02-17
1831597590 Boey Yean Lim · May Lim Acupuncturist 4629 Se Woodstock Blvd, Portland, OR 97206 2014-12-12
1295082329 Chase Heywood Price Acupuncturist 5425 Se Raymond Street, Portland, OR 97206 2012-08-08
1154678423 Annelise Sevastiana Schnase Counselor · Mental Health 4311 Se Woodstock Blvd, Portland, OR 97206 2012-08-06
Find all providers in zip 97206

Taxonomy Information

Taxonomy Code 133N00000X
Grouping Dietary & Nutritional Service Providers
Classification Nutritionist

Taxonomy Definition

A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.
Notes: Source: (1) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801487178 Tami Butterfield 10008 Se Ramona St, Portland, OR 97266-4422 2021-01-29
1710578091 Jamie Dimond 1281 N Jessup St, Portland, OR 97217-4675 2021-01-29
1518569268 Elizabeth Gaynor 333 Ne Russell St Ste 201, Portland, OR 97212-3763 2020-11-09
1427674340 Cami Renee Smalley 34 Congress St Apt 1, Portland, ME 04101-3665 2020-06-17
1659994937 Leandre E Fischer 909 Se Rhine St, Portland, OR 97202-2752 2020-05-21
1881244580 Linda A Banchini 11540 Sw 58th Ct, Portland, OR 97219-7256 2019-09-14
1790296721 Carli Webb · Carli Coughanowr 9320 Sw Barbur Blvd Ste 165, Portland, OR 97219-5430 2017-10-17
1942737259 Megan Deras Gardner 1585 Sw Marlow Ave Ste 200, Portland, OR 97225-5178 2017-05-17
1235526286 Holly Lynn Morello 3874 Nw Loriann Dr, Portland, OR 97229-8346 2015-04-16
1689076796 Selena Moffitt 5331 Sw Macadam Ave Ste 380, Portland, OR 97239-3879 2014-09-19
Find all providers in PORTLAND


Search similar providers

Zip Code 97206

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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.