EMILY CAMPBELL RD
NPI 1669979043
Dietitian, Registered in Portland, OR

Q: What is Emily Campbell's NPI number?

The NPI number for Emily Campbell is 1669979043. It was assigned to this individual provider in the NPPES registry on April 11, 2018.

Q: What is Emily Campbell'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 Emily Campbell was last updated on April 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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 April 11, 2018Accepts Medicare Assignment

1040 NW 22ND AVE STE 520, PORTLAND, OR 97210(503) 413-7311 Get Directions Write a Review

NPPES record last updated: April 11, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Emily Campbell Rd NPPES

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

EMILY CAMPBELL RD (NPI 1669979043) is an individual dietitian, registered in Portland, Oregon and active in the NPI registry since April 2018. She is affiliated with Legacy Good Samaritan Medical Center and is a graduate of Other (2013).

NPPES Registry Identity

NPI1669979043

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameEMILY CAMPBELLCredential: RD

Location Address1040 NW 22ND AVE STE 520Portland, OR 97210-3097

Mailing Address1040 Nw 22nd Ave Ste 520Portland, OR 97210-3097

Phone(503) 413-7311

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateApril 11, 2018

✔ NPI 1669979043 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.

1040 NW 22ND AVE STE 520, Portland, OR 97210

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Emily Campbell Rd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335495985

PECOS Enrollment IDI20180711003903

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Legacy Good Samaritan Medical Center

Acute Care Hospitals · Portland, OR

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380017

Location1015 NW 22nd Avenue, W121Portland, OR 97210 · Multnomah County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $58.99 – $176.88

Typical copayment $0.00 (range $14.74 – $44.22)

Most-billed visit code NA

Established Patient

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

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

RYAN FAIRLEY

Surgery