JORDAN SKOUBO RD, MPH, CPH
NPI 1164121075
Dietitian, Registered in Salem, OR

Active since February 28, 2023
1750 MCGILCHRIST ST SE STE 130, SALEM, OR 97302(971) 304-2200 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jordan Skoubo Rd, Mph, Cph NPPES

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

JORDAN SKOUBO RD, MPH, CPH (NPI 1164121075) is an individual dietitian, registered in Salem, Oregon and active in the NPI registry since February 2023. He maintains a secondary practice location in Lake Oswego.

NPPES Registry Identity

NPI1164121075
Entity TypeIndividualMale
Primary Taxonomy133V00000X
Provider Legal NameJORDAN SKOUBOCredential: RD, MPH, CPH
Location Address1750 MCGILCHRIST ST SE STE 130Salem, OR 97302-1691
Mailing Address4400 Oakridge Rd Apt 10Lake Oswego, OR 97035-3390
Sole ProprietorNo
Enumeration DateFebruary 28, 2023
NPPES CertifiedFebruary 28, 2023
✔ NPI 1164121075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
1750 MCGILCHRIST ST SE STE 130, Salem, OR 97302

Secondary Practice Location 1

Location 14400 Oakridge Rd Apt 10Lake Oswego, OR 97035-3390 · Phone (503) 403-9531

Other Providers at the Same Location NPPES 11

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

Physical Medicine & Rehabilitation
1750 MCGILCHRIST ST SE STE 130
SALEM, OR 97302
Family Medicine
1750 MCGILCHRIST ST SE STE 130
SALEM, OR 97302
Optometrist
1750 MCGILCHRIST ST SE STE 130
SALEM, OR 97302
Optometrist
1750 MCGILCHRIST ST SE STE 130
SALEM, OR 97302
Nurse Practitioner (Family)
1750 MCGILCHRIST ST SE STE 130
SALEM, OR 97302
Registered Nurse
1750 MCGILCHRIST ST SE STE 130
SALEM, OR 97302
Technician/Technologist (Ophthalmic)
1750 MCGILCHRIST ST SE STE 130
SALEM, OR 97302
Licensed Practical Nurse
1750 MCGILCHRIST ST SE STE 130
SALEM, OR 97302

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 Jordan Skoubo's NPI number?

The NPI number for Jordan Skoubo is 1164121075. It was assigned to this individual provider in the NPPES registry on February 28, 2023.

Where is Jordan Skoubo located?

Jordan Skoubo practices at 1750 Mcgilchrist St SE Ste 130, Salem, OR 97302. The listed phone number is (971) 304-2200.

What is Jordan Skoubo's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Jordan Skoubo was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.