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Active NPI 1477833390 Individual Practitioner Female Practitioner

Sumner L Brooks , MPH, RD, CSSD

Dietitian, Registered • Portland, OR

Professional Overview & Biography Verified Profile Summary

Sumner Brooks, MPH, RD, CSSD is a registered healthcare professional specializing in Dietitian, Registered in Portland, OR. Practice services are available at 1111 NE 99TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1111 Ne 99th Ave
Suite 301

Portland, OR 972209428

Telephone 5039632707
Fax 5039632802
Associated Practice Facility / Clinic
🏢 The Oregon Clinic Pc Facility NPI 1073778346

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.3 Yrs
State Avg: 15.5 Yrs
Regional Practice Density
362 Specialists

Practicing in Portland, OR (941 Statewide)

Telehealth Adoption Rate
3.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License OR LD-D-10169435

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.

Dietitian, Registered

NUCC Taxonomy Code: 133V00000X

State License CA 987508

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2065312 (WA)
Medicaid State Provider ID
500714219 (OR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Douglas Walta , MD

Internal Medicine - Gastroenterology

NPI 1023001195

Doctor of Medicine (M.D.)

Michael Barth , PA-C

Physician Assistant

NPI 1023416906

Physician Assistant (Certified)

Alyssa O'brien , RD

Dietitian, Registered

NPI 1023483799

Registered Dietitian

Dr. Amy Zhu , MD

Internal Medicine - Gastroenterology

NPI 1033379862

Doctor of Medicine (M.D.)

Dr. Branden Tarlow , MD

Internal Medicine - Gastroenterology

NPI 1063845998

Doctor of Medicine (M.D.)

Dr. Ian Holmes , MD

Internal Medicine - Gastroenterology

NPI 1073933099

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 14, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location October 14, 2016

Registered at 1111 NE 99TH AVE, SUITE 301, PORTLAND, OR 972209428 (Tel: 5039632707)

📍
Updated Business Mailing Address October 14, 2016

Registered at 847 NE 19TH AVE, SUITE 300, PORTLAND, OR 972322684 (Tel: 5039632801)

👤
Provider Name / Credentials Updated October 14, 2016

Recorded as SUMNER BROOKS, MPH, RD, CSSD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2016

Dietitian, Registered (License #LD-D-10169435 in OR)

🟢
Initial NPI Registration & Enumeration August 23, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477833390
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 23, 2011
Last Update: October 14, 2016
Sole Proprietor: No

Mailing Address

847 Ne 19th Ave, Suite 300

Portland, OR 972322684

Phone: 5039632801

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.