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

Active since December 21, 2011
10101 SE MAIN ST, PORTLAND, OR 97216(917) 680-2820 Get Directions Write a Review

NPPES record last updated: December 21, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mlb Nutrition & Wellness, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MLB NUTRITION & WELLNESS, LLC (NPI 1124397062) is a healthcare organization registered as a nutrition, metabolic in Portland, Oregon and active in the NPI registry since December 2011. The organization lists Melissa Lynn Bollman, President, as its authorized official.

NPPES Registry Identity

NPI1124397062
Entity TypeOrganization
Primary Taxonomy133VN1006X
Legal Business NameMLB NUTRITION & WELLNESS, LLC
Location Address10101 SE MAIN STPortland, OR 97216-2455
Mailing Address5071 W Sunset DrLake Oswego, OR 97035-4253 · (917) 680-2820
Phone(917) 680-2820
Organization SubpartNo
Authorized OfficialMelissa Lynn BollmanPresident · (917) 680-2820
Enumeration DateDecember 21, 2011
✔ NPI 1124397062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, Registered · Nutrition, MetabolicDietary & Nutritional Service Providers
Taxonomy Code133VN1006X
License✔ Licensed in OR · LDD10144515
Definition
A registered dietitian who achieves specialized competency in metabolic nutrition.
10101 SE MAIN ST, Portland, OR 97216
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARTER NOLAND MD PC
Ophthalmology
10101 SE MAIN ST, SUITE 3001
PORTLAND, OR 97216
Multnomah County (503) 255-2667
DEIDRE WEILER ANP
Nurse Practitioner (Adult Health)
10101 SE MAIN ST, SUITE 1001
PORTLAND, OR 97216
Multnomah County (503) 419-6001
MR. MICHAEL LEE MCDONALD M.D.
Otolaryngology (Sleep Medicine)
10101 SE MAIN ST, # 2004
PORTLAND, OR 97216
Multnomah County (503) 257-3204
DR. E. ROBERT WELLS M.D.
Specialist
10101 SE MAIN ST, SUITE 3008
PORTLAND, OR 97216
Multnomah County (503) 253-1223
DR. WILFRED ARTHUR GESCHKE M.D.
Internal Medicine (Hematology)
10101 SE MAIN ST, SUITE 1012
PORTLAND, OR 97216
Multnomah County (503) 256-3627
NANCY K DOUGHERTY MDPC
Family Medicine
10101 SE MAIN ST, STE 1004
PORTLAND, OR 97216
Multnomah County (503) 255-0109
TODD WILLIAM ULMER MD PC
Specialist
10101 SE MAIN ST, SUITE 3008
PORTLAND, OR 97216
Multnomah County (503) 253-3268
DR. DAVID NORMAN CAROTHERS DDS
Dentist
10101 SE MAIN ST, SUITE 3009
PORTLAND, OR 97216
Multnomah County (503) 257-3033

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mlb Nutrition & Wellness, LLC's NPI number?

The NPI number for Mlb Nutrition & Wellness, LLC is 1124397062. It was assigned to this organization in the NPPES registry on December 21, 2011.

Where is Mlb Nutrition & Wellness, LLC located?

Mlb Nutrition & Wellness, LLC is located at 10101 SE Main St, Portland, OR 97216. The listed phone number is (917) 680-2820.

What is Mlb Nutrition & Wellness, LLC's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Metabolic, with taxonomy code 133VN1006X.

When was this NPI record last updated?

The NPPES record for Mlb Nutrition & Wellness, LLC was last updated on December 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.