Yulia Brockdorf, RD LD CD LPC BCADM is a medicare enrolled "Dietitian, Registered" provider in Hillsboro, Oregon. Her current practice location is
428 Sw Oak St, Hillsboro, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 577-5845.
Yulia Brockdorf is licensed to practice in Oregon (license number 594) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1053483024.
Healthcare Provider's Profile
Full Name | Yulia Brockdorf |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 428 Sw Oak St, Hillsboro, Oregon |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053483024
- Provider Enumeration Date: 11/15/2006
- Last Update Date: 11/15/2017
Medicare PECOS Information:
- PECOS PAC ID: 3678462819
- Enrollment ID: I20040329000668
Medical Identifiers
Medical identifiers for Yulia Brockdorf such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053483024 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | C4518 (Oregon) | Secondary |
133V00000X | Dietitian, Registered | 594 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Yulia Brockdorf is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Yulia Brockdorf, RD LD CD LPC BCADM 428 Sw Oak St, Hillsboro, OR 97123-3936 Ph: (503) 577-5845 | Yulia Brockdorf, RD LD CD LPC BCADM 428 Sw Oak St, Hillsboro, OR 97123-3936 Ph: (503) 577-5845 |
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