OrganizationActive
Mlb Nutrition & Wellness, LLC
NPI 1124397062 · Metabolic Nutrition Registered Dietitian · Portland, OR
Provider details
- NPI number
- 1124397062
- Entity type
- Organization
- Primary specialty
- Metabolic Nutrition Registered DietitianDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Melissa Bollman, President(917) 680-2820
- License
- LDD10144515 (OR)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10101 Se Main St
Portland, OR 97216-2455
Phone: (917) 680-2820
Street-level locationGet directions
Mailing address
5071 W Sunset Dr
Lake Oswego, OR 97035-4253
Registry dates
- Enumerated
- 2011-12-21
- Last updated
- 2011-12-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.