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

Active since August 13, 2021
3101 SW SAM JACKSON PARK RD, PORTLAND, OR 97239(971) 282-4610 Get Directions Write a Review

NPPES record last updated: August 13, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Alexandra Marzullo Rd NPPES

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

ALEXANDRA MARZULLO RD (NPI 1245905090) is an individual dietitian, registered in Portland, Oregon and active in the NPI registry since August 2021. She maintains a secondary practice location in Vancouver.

NPPES Registry Identity

NPI1245905090
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameALEXANDRA MARZULLOCredential: RD
Location Address3101 SW SAM JACKSON PARK RDPortland, OR 97239-3095
Mailing Address600 Se 177th Ave Unit A8Vancouver, WA 98683-1847 · (845) 242-2347
Sole ProprietorYes
Enumeration DateAugust 13, 2021
NPPES CertifiedAugust 13, 2021
NPI 1245905090 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.

3101 SW SAM JACKSON PARK RD, Portland, OR 97239

Secondary Practice Location 1

Location 1600 SE 177th Ave Unit A8Vancouver, WA 98683-1847 · Phone (845) 242-2347

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.

Anesthesiology
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Occupational Therapist
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Orthotist
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Nurse Practitioner (Pediatrics)
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Student in an Organized Health Care Education/Training Program
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Physical Therapist
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Anesthesiology
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Occupational Therapist (Pediatrics)
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

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 Alexandra Marzullo's NPI number?

The NPI number for Alexandra Marzullo is 1245905090. It was assigned to this individual provider in the NPPES registry on August 13, 2021.

Where is Alexandra Marzullo located?

Alexandra Marzullo practices at 3101 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (971) 282-4610.

What is Alexandra Marzullo'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 Alexandra Marzullo was last updated on August 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.