PAULA J. STAAB RD LD
NPI 1659802650
Dietitian, Registered - Nutrition, Renal in Portland, OR

Active since March 22, 2017
1130 NW 22ND AVE, SUITE 640, PORTLAND, OR 97210(503) 229-7976(503) 274-4867 Get Directions Write a Review

NPPES record last updated: March 22, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Paula J. Staab Rd Ld NPPES

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

PAULA J. STAAB RD LD (NPI 1659802650) is an individual nutrition, renal provider in Portland, Oregon, licensed in Oregon (000937) and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1659802650
Entity TypeIndividualFemale
Primary Taxonomy133VN1005X
Provider Legal NamePAULA J. STAABCredential: RD LD
Location Address1130 NW 22ND AVE, SUITE 640Portland, OR 97210-2900
Mailing Address1130 Nw 22nd Ave, Suite 640Portland, OR 97210-2900 · (503) 229-7976 · Fax (503) 274-4867
Fax(503) 274-4867
Sole ProprietorYes
Enumeration DateMarch 22, 2017
NPI 1659802650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, Registered · Nutrition, RenalDietary & Nutritional Service Providers
Taxonomy Code133VN1005X
License Licensed in OR · 000937
Definition

An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transplant) in a variety of settings, OR works indirectly in management, education, or research practice linked specifically to renal nutrition. The specialist in renal/nephrology nutrition is responsible for nutrition assessment, diagnosis, intervention, monitoring, and evaluation.

1130 NW 22ND AVE, Portland, OR 97210

Other Providers at the Same Location


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

Pediatrics
1130 NW 22ND AVE, SUITE 320
PORTLAND, OR 97210
Pediatrics
1130 NW 22ND AVE, STE 320
PORTLAND, OR 97210
Surgery
1130 NW 22ND AVE, SUITE300
PORTLAND, OR 97210
Surgery
1130 NW 22ND AVE, STE 300
PORTLAND, OR 97210
Internal Medicine
1130 NW 22ND AVE, 220
PORTLAND, OR 97210
Internal Medicine
1130 NW 22ND AVE, SUITE 220
PORTLAND, OR 97210
Internal Medicine
1130 NW 22ND AVE, SUITE 220
PORTLAND, OR 97210
Nurse Practitioner
1130 NW 22ND AVE, SUITE 345
PORTLAND, OR 97210
Internal Medicine
1130 NW 22ND AVE
PORTLAND, OR 97210
Internal Medicine
1130 NW 22ND AVE
PORTLAND, OR 97210
Internal Medicine
1130 NW 22ND AVE, SUITE 220
PORTLAND, OR 97210
Internal Medicine
1130 NW 22ND AVE, SUITE 220
PORTLAND, OR 97210
Internal Medicine
1130 NW 22ND AVE, SUITE 220
PORTLAND, OR 97210
Internal Medicine
1130 NW 22ND AVE, SUITE 220
PORTLAND, OR 97210
Dietitian, Registered
1130 NW 22ND AVE, SUITE LL10
PORTLAND, OR 97210
Dietitian, Registered
1130 NW 22ND AVE, LL 10
PORTLAND, OR 97210
Internal Medicine
1130 NW 22ND AVE, SUITE 220
PORTLAND, OR 97210
Internal Medicine
1130 NW 22ND AVE, 220
PORTLAND, OR 97210
Specialist
1130 NW 22ND AVE, SUITE 410
PORTLAND, OR 97210
Specialist
1130 NW 22ND AVE, SUITE 410
PORTLAND, OR 97210

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659802650, enumerated as an "individual" on March 22, 2017.

The provider is located at 1130 NW 22ND AVE SUITE 640 PORTLAND, OR 97210 and the phone number is (503) 229-7976.

Dietitian, Registered with taxonomy code 133VN1005X and a focus in Nutrition, Renal.