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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: November 01, 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
Phone(971) 279-4800
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
Open in Google Maps ↗

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

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Janelle M Bombara Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Janelle Bombara reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Native American Rehabilitation Assoc Inc
Same address
Federally Qualified Health Center (FQHC)
12360 E BURNSIDE ST
Portland, OR 97233
  • Reassigned Medicare billing, Oregon enrollment
  • 39 clinicians in this Medicare group
NPI 1053691972 (971) 279-4800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

ANGEL T HIRSCH PCA/QMHP-C
Counselor
12360 E BURNSIDE ST
PORTLAND, OR 97233
Multnomah County (971) 279-4800
DR. JENNA WILSON CRAIN N.D.
Naturopath
12360 E BURNSIDE ST
PORTLAND, OR 97233
Multnomah County (971) 279-4800
CHRISTA R ANDREASEN RN
Registered Nurse
12360 E BURNSIDE ST
PORTLAND, OR 97233
Multnomah County (971) 279-4800
THURSDAY CHARBONEAU PSS
Peer Specialist
12360 E BURNSIDE ST
PORTLAND, OR 97233
Multnomah County (971) 279-4800
JERRY ALLEN BUCK III
Counselor (Mental Health)
12360 E BURNSIDE ST
PORTLAND, OR 97233
Multnomah County (971) 279-4800
NATIVE AMERICAN REHABILITATION ASSOC INC
Clinic/Center (Federally Qualified Health Center (FQHC))
12360 E BURNSIDE ST
PORTLAND, OR 97233
Multnomah County (971) 279-4800
JACQUELINE FAYE RICHLAND CSWA
Social Worker
12360 E BURNSIDE ST
PORTLAND, OR 97233
Multnomah County (971) 279-4800
VALERIE D CHAMBERS RN
Registered Nurse
12360 E BURNSIDE ST
PORTLAND, OR 97233
Multnomah County (971) 279-4800

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 Janelle Bombara's NPI number?

The NPI number for Janelle Bombara is 1245878552. It was assigned to this individual provider in the NPPES registry on December 17, 2019.

Where is Janelle Bombara located?

Janelle Bombara practices at 12360 E Burnside St, Portland, OR 97233. The listed phone number is (971) 279-4800.

What is Janelle Bombara's specialty?

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

Is Janelle Bombara enrolled in Medicare?

Yes. Janelle Bombara is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Janelle Bombara's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Janelle Bombara reassigns Medicare benefits to Native American Rehabilitation Assoc Inc (Portland, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Janelle Bombara's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Janelle Bombara accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Janelle Bombara as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Janelle Bombara was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.