Individual
SAMARA LILY ROMAN-HOLBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, EDM, RD, LD
Contact information
Practice address
2143 NE BROADWAY ST STE 9, PORTLAND, OR 97232-1512
(310) 906-8950
(855) 702-2328
Mailing address
2241 NW PETTYGROVE ST APT 7, PORTLAND, OR 97210-2685
(310) 906-8950
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
133V00000X
Registered Dietitian
Primary
LD-D-10217666
OR
Other
Enumeration date
11/08/2021
Last updated
05/23/2025
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