GREGORY LEE LUM RD
NPI 1376057448
Dietitian, Registered in Salem, OR

Q: What is Gregory Lum's NPI number?

The NPI number for Gregory Lum is 1376057448. It was assigned to this individual provider in the NPPES registry on November 27, 2017.

Q: What is Gregory Lum's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gregory Lum was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since November 27, 2017

255 LANCASTER DR NE, SALEM, OR 97301(503) 576-8360(503) 576-8410 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 3, 2025, Nov 27, 2017 (2 updates tracked since 2017).

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About Gregory Lee Lum Rd NPPES

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

GREGORY LEE LUM RD (NPI 1376057448) is an individual dietitian, registered in Salem, Oregon, licensed in Oregon (LD-D-10263069) and active in the NPI registry since November 2017. He maintains a secondary practice location in Woodburn and is a graduate of University Of California, Davis School Of Medicine (2015).

NPPES Registry Identity

NPI1376057448

Entity TypeIndividualMale

Primary Taxonomy133V00000X

Provider Legal NameGREGORY LEE LUMCredential: RD

Location Address255 LANCASTER DR NESalem, OR 97301-5155

Mailing AddressPo Box 190Toppenish, WA 98948-0190 · (509) 408-6298 · Fax (509) 865-7057

Phone(503) 576-8360

Fax(503) 576-8410

Sole ProprietorNo

Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 2015

Enumeration DateNovember 27, 2017

Last NPPES UpdateNovember 3, 20252 updates tracked since enumeration

NPPES CertifiedNovember 3, 2025

✔ NPI 1376057448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in OR · LD-D-10263069

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.

255 LANCASTER DR NE, Salem, OR 97301

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Secondary Practice Location 1

Location 11175 Mount Hood AveWoodburn, OR 97071-9060 · Phone (503) 982-2006 ext. 6417

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gregory Lee Lum Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436643079

PECOS Enrollment IDI20251211001114

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.

EMILY GRAY PHARMD.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)