SAMARA LILY ROMAN-HOLBA MS EDM RD LD NPI 1417612151

NPI Information

  • NPI: 1417612151
  • Provider Name: SAMARA LILY ROMAN-HOLBA, MS, EDM, RD, LD
  • Classification: Dietitian, Registered - 133V00000X
  • Entity Type: Individual
  • Address: 2143 NE BROADWAY ST STE 9
    PORTLAND, OR
    ZIP 97232
  • Phone: (310) 906-8950

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NPI Details

Samara Lily Roman-holba, MS, EDM, RD, LD is a dietitian registered in Portland, OR. The provider is 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. Samara Lily Roman-holba, MS, EDM, RD, LD NPI is 1417612151. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2143 NE BROADWAY ST STE 9
PORTLAND, OR
ZIP 97232-512
Phone: (310) 906-8950
Fax: (855) 702-2328

The enumeration date for this NPI number is 11/8/2021 and was last updated on 5/23/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNo
2133V00000XDietitian, RegisteredLD-D-10217666OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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