Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marcella R Canelo, REGISTEREDDIETITIAN

Individual provider Registered Dietitian · NPI 1568019644

Marcella R Canelo, REGISTEREDDIETITIAN is a Registered Dietitian OR Nutrition Professional in Bend, Oregon. Qualified in 2018, 8 years ago. Practices with Mosaic Community Health, a 79-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
8
Licensed in
OR
In the registry since
2019
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Practice location Address checks out

2065 NE Tucson Way Apt 110
Bend, OR 97701-5182
Phone: (541) 383-3005
Fax: (541) 383-1883
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence LD-D-10200369 (OR)

Record details

NPI number1568019644
Entity typeIndividual (Type 1)
GenderFemale
Credentials REGISTEREDDIETITIAN
Sole proprietorNo
NPI enumeratedAugust 22, 2019
Last updated in NPPESOctober 24, 2024
Certification dateOctober 24, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Mosaic Community Health — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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