ALEXANDRA MARZULLO RD
NPI 1245905090
Dietitian, Registered in Portland, OR

NPI Status: Active since August 13, 2021

Contact Information

3101 SW SAM JACKSON PARK RD
PORTLAND, OR
ZIP 97239
Phone: (971) 282-4610

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  • Individual
  • Female
  • Dietitian, Registered

About ALEXANDRA MARZULLO

This page provides the complete NPI Profile along with additional information for Alexandra Marzullo, a provider established in Portland, Oregon with a medical specialization in Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1245905090 assigned on August 2021. The practitioner's primary taxonomy code is 133V00000X. The provider is registered as an individual and her NPI record was last updated 4 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization.

NPI
1245905090
Provider Name
ALEXANDRA MARZULLO RD
Gender
Female
Entity Type
Individual
Location Address
3101 SW SAM JACKSON PARK RD PORTLAND, OR 97239
Location Phone
(971) 282-4610
Mailing Address
600 SE 177TH AVE UNIT A8 VANCOUVER, WA 98683
Mailing Phone
(845) 242-2347
Is Sole Proprietor?
Yes
Enumeration Date
08-13-2021
Last Update Date
08-13-2021
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Location Map

Secondary Locations

  • 600 SE 177th Ave Unit A8
    Vancouver, WA 98683
    (845) 242-2347

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dietitian, Registered

Taxonomy Code
133V00000X
Type
Dietary & Nutritional Service Providers
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1245905090
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
228518010018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 1 + 8 + 0 + 1 + 0 + 0 + 1 + 8 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1245905090 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

PATRICIA MARIE DAWSON MSN, NNP, RNC

Nurse Practitioner

(Neonatal)

3101 SW SAM JACKSON PARK RD
PORTLAND, OR
ZIP 97239

(503) 494-9484

MS. SUSAN COOPER LABHARD MSN, RN

Registered Nurse

(Pediatrics)

3101 SW SAM JACKSON PARK RD
SHRINERS HOSPITAL FOR CHILDREN
PORTLAND, OR
ZIP 97239

(503) 241-5090

SONIA BOUCHARD

Occupational Therapist

3101 SW SAM JACKSON PARK RD
PORTLAND, OR
ZIP 97239

(503) 221-3429

MS. MARY KATHERINE BRESLIN RPT

Physical Therapist

3101 SW SAM JACKSON PARK RD
PORTLAND, OR
ZIP 97239

(503) 221-3429

ELHANNEN HERBERT HOSTLER III PT

Physical Therapist

3101 SW SAM JACKSON PARK RD
PORTLAND, OR
ZIP 97239

(503) 221-3429

APRIL TRENAMAN OTR/L

Occupational Therapist

3101 SW SAM JACKSON PARK RD
PORTLAND, OR
ZIP 97239

(503) 221-3429

MRS. DENEE MARIE KROEGER MOTR/L

Occupational Therapist

3101 SW SAM JACKSON PARK RD
PORTLAND, OR
ZIP 97239

(503) 221-3429

MRS. SHANNON JOANNE KELLY PT

Physical Therapist

3101 SW SAM JACKSON PARK RD
PORTLAND, OR
ZIP 97239

(503) 221-3429

LISA KAY MCINTYRE OTR/L

Occupational Therapist

3101 SW SAM JACKSON PARK RD
PORTLAND, OR
ZIP 97239

(503) 221-3429

DOREEN NOXON

Physical Therapy Assistant

3101 SW SAM JACKSON PARK RD
PORTLAND, OR
ZIP 97239

(503) 221-3429

JANIECE MARIE HINCKLEY PT

Physical Therapist

3101 SW SAM JACKSON PARK RD
PORTLAND, OR
ZIP 97239

(503) 221-3429

KIRSTEN ZILKE

Physical Therapist

3101 SW SAM JACKSON PARK RD
PORTLAND, OR
ZIP 97239

(503) 221-3429

MRS. SALLY MARIE MOEGGENBERG MPT

Physical Therapist

(Pediatrics)

3101 SW SAM JACKSON PARK RD
PORTLAND, OR
ZIP 97239

(503) 221-3429

AMANDA STOLTZ DPT

Physical Therapist

3101 SW SAM JACKSON PARK RD
PORTLAND, OR
ZIP 97239

(503) 221-3429

KAY THROCKMORTON P.T.

Physical Therapist

(Pediatrics)

3101 SW SAM JACKSON PARK RD
PORTLAND, OR
ZIP 97239

(503) 221-3429

SUSAN MCAULEY MCAULEY LPTA

Physical Therapy Assistant

3101 SW SAM JACKSON PARK RD
PORTLAND, OR
ZIP 97239

(503) 221-3429

LEE ALAN TAYLOR MD

Anesthesiology

3101 SW SAM JACKSON PARK RD
PORTLAND, OR
ZIP 97239

(503) 221-3424

JOSEPH IVAN KRAJBICH MD FRCSC

Orthopaedic Surgery

3101 SW SAM JACKSON PARK RD
PORTLAND, OR
ZIP 97239

(503) 221-3424

MICHAEL DAVID SUSSMAN MD

Orthopaedic Surgery

3101 SW SAM JACKSON PARK RD
PORTLAND, OR
ZIP 97239

(503) 221-3424

JOSELYN S DAVIDSON MD

Anesthesiology

(Pediatric Anesthesiology)

3101 SW SAM JACKSON PARK RD
PORTLAND, OR
ZIP 97239

(503) 221-3424

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245905090, enumerated as an "individual" on August 13, 2021.

The provider is located at 3101 SW SAM JACKSON PARK RD PORTLAND, OR 97239 and the phone number is (971) 282-4610.

Dietitian, Registered with taxonomy code 133V00000X.