SAMARA LILY ROMAN-HOLBA MS, EDM, RD, LD
NPI 1417612151
Dietitian, Registered in Portland, OR

Active since November 08, 2021
2143 NE BROADWAY ST STE 9, PORTLAND, OR 97232(310) 906-8950(855) 702-2328 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 23, 2025, May 13, 2024, Dec 2, 2022 and 1 more (4 updates tracked since 2021).

About Samara Lily Roman-holba Ms, Edm, Rd, Ld NPPES

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

SAMARA LILY ROMAN-HOLBA MS, EDM, RD, LD (NPI 1417612151) is an individual dietitian, registered in Portland, Oregon, licensed in Oregon (LD-D-10217666) and active in the NPI registry since November 2021. She maintains a secondary practice location in Oregon City.

NPPES Registry Identity

NPI1417612151
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameSAMARA LILY ROMAN-HOLBACredential: MS, EDM, RD, LD
Location Address2143 NE BROADWAY ST STE 9Portland, OR 97232-1512
Mailing Address2241 Nw Pettygrove St Apt 7Portland, OR 97210-2685 · (310) 906-8950
Fax(855) 702-2328
Sole ProprietorYes
Enumeration DateNovember 8, 2021
Last NPPES UpdateMay 23, 20254 updates tracked since enumeration
NPPES CertifiedMay 23, 2025
NPI 1417612151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License Licensed in OR · LD-D-10217666
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
2143 NE BROADWAY ST STE 9, Portland, OR 97232

Secondary Practice Location 1

Location 1999 Abernethy RdOregon City, OR 97045-1175 · Phone (971) 334-9380

Accepted Insurance

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
2143 NE BROADWAY ST STE 9
PORTLAND, OR 97232
Clinic/Center (Health Service)
2143 NE BROADWAY ST STE 9
PORTLAND, OR 97232
Counselor (Professional)
2143 NE BROADWAY ST STE 9
PORTLAND, OR 97232
Dietitian, Registered
2143 NE BROADWAY ST STE 9
PORTLAND, OR 97232

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 Samara Roman-holba's NPI number?

The NPI number for Samara Roman-holba is 1417612151. It was assigned to this individual provider in the NPPES registry on November 8, 2021.

Where is Samara Roman-holba located?

Samara Roman-holba practices at 2143 NE Broadway St Ste 9, Portland, OR 97232. The listed phone number is (310) 906-8950.

What is Samara Roman-holba's specialty?

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

What insurance does Samara Roman-holba accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Samara Roman-holba 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 Samara Roman-holba was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.