JANELLE M BOMBARA RD
NPI 1245878552
Dietitian, Registered in Portland, OR

Active since December 17, 2019
12360 E BURNSIDE ST, PORTLAND, OR 97233(971) 279-4800(971) 279-2051 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 16, 2025, Oct 28, 2022, Jan 3, 2022 and 2 more (5 updates tracked since 2019).

About Janelle M Bombara Rd NPPES

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

JANELLE M BOMBARA RD (NPI 1245878552) is an individual dietitian, registered in Portland, Oregon, licensed in Oregon (LD-D-10203087) and active in the NPI registry since December 2019. She maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1245878552
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameJANELLE M BOMBARACredential: RD
Location Address12360 E BURNSIDE STPortland, OR 97233-1042
Mailing Address211 Se Caruthers StPortland, OR 97214-4502 · (503) 224-1044 · Fax (971) 260-0355
Fax(971) 279-2051
Sole ProprietorNo
Enumeration DateDecember 17, 2019
Last NPPES UpdateSeptember 16, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2025
NPI 1245878552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Licenses Licensed in OR · LD-D-10203087 Licensed in WA · DI60864552
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.

12360 E BURNSIDE ST, Portland, OR 97233

Secondary Practice Location 1

Location 1703 NE Hancock StPortland, OR 97212-3955 · Phone (503) 230-9875 · Fax (503) 331-3441

Other Identifiers 2

Medicaid500773225OR
Medicaid2147070WA

Accepted Insurance

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.

Registered Nurse
12360 E BURNSIDE ST
PORTLAND, OR 97233
Registered Nurse (Women's Health Care, Ambulatory)
12360 E BURNSIDE ST
PORTLAND, OR 97233
Student in an Organized Health Care Education/Training Program
12360 E BURNSIDE ST
PORTLAND, OR 97233
Registered Nurse
12360 E BURNSIDE ST
PORTLAND, OR 97233
Registered Nurse
12360 E BURNSIDE ST
PORTLAND, OR 97233
Pharmacy Technician
12360 E BURNSIDE ST
PORTLAND, OR 97233
Registered Nurse
12360 E BURNSIDE ST
PORTLAND, OR 97233
Registered Nurse
12360 E BURNSIDE ST
PORTLAND, OR 97233

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245878552, enumerated as an "individual" on December 17, 2019.

The provider is located at 12360 E BURNSIDE ST PORTLAND, OR 97233 and the phone number is (971) 279-4800.

Dietitian, Registered with taxonomy code 133V00000X.

The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to verify.