Active NPIIndividual providerSole proprietor

Ernesto Banuelos, RD

Dietitian, Registered in Beaverton, Oregon

NPI Number1942075825
Practice location
12019 SW Steamboat Dr, Beaverton, OR 97008-7046
Fax
—
Last updated
September 14, 2026

Ernesto Banuelos is a Dietitian, Registered based in Beaverton, OR. Ernesto Banuelos practices in Beaverton, OR and has the professional credentials of RD. The NPI Number for Ernesto Banuelos is 1942075825 and holds a License No. 10235654 (OR). The current practice location address for Ernesto Banuelos is 12019 SW Steamboat Dr, Beaverton, OR 97008-7046 and can be reached out via phone at 909-827-0670.

Provider Profile Details

NPI Number
1942075825
Provider Name
Ernesto Banuelos
Credential
RD
Provider Entity Type
Individual
Gender
Male
Address
12019 SW Steamboat Dr, Beaverton, OR 97008-7046
Phone Number
909-827-0670
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 20, 2023
Last Update Date
September 14, 2026
Certification Date
September 14, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
12019 SW Steamboat Dr
Beaverton, OR 97008-7046
State
Oregon
Zip
97008-7046
Phone Number
909-827-0670
Beaverton, OR 97008Get directions →

Provider Business Mailing Address Details

Address
12019 SW Steamboat Dr
Beaverton, OR 97008-7046
City
Beaverton
State
OR
Zip
97008-7046
Phone Number
909-827-0670

License Information

License Number
10235654
License State
OR
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ernesto Banuelos, RD?

The NPI number of Ernesto Banuelos, RD is 1942075825. It was assigned on November 20, 2023 and is currently active in the NPPES registry.

What is the specialty of Ernesto Banuelos, RD?

Ernesto Banuelos, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in OR under license number 10235654.

Where does Ernesto Banuelos, RD practice?

The practice location is 12019 SW Steamboat Dr, Beaverton, OR 97008-7046. The office can be reached at 909-827-0670 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1942075825 directly on the NPPES registry website.

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