IndividualActive
Alyssa Gormaly, RD
NPI 1881359792 · Registered Dietitian · Portland, OR
Provider details
- NPI number
- 1881359792
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- License
- 10208663 (OR)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone: (503) 413-3926
Approximate (ZIP-level) locationGet directions
Mailing address
2801 N Gantenbein Ave
Portland, OR 97227-1623
Registry dates
- Enumerated
- 2021-11-04
- Last updated
- 2023-04-11
- Certified
- 2023-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.