Individual provider · Type 1 NPI

Samara Lily Roman-Holba, MS, EDM, RD, LD

Registered Dietitian · Portland, OR

NPI number 1417612151 Active

Practice location

2143 NE Broadway St Ste 9
Portland, OR 97232-1512

Call (310) 906-8950 Map

Fax (855) 702-2328

Mailing address

2241 NW Pettygrove St Apt 7
Portland, OR 97210-2685

Other practice locations

  • 999 Abernethy Rd, Oregon City, OR 97045-1175 · (971) 334-9380

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Registered Dietitian Primary 133V00000XLD-D-10217666 (OR)

Registered Dietitian: 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…

4 other providers at this address

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About NPI 1417612151

Samara Lily Roman-Holba, MS, EDM, RD, LD's National Provider Identifier is 1417612151, issued on Nov 8, 2021. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Portland, OR. The record was last updated on May 23, 2025.