Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Gabrielle Anastasia Humlie, LD

Individual provider Registered Dietitian · NPI 1720692007

Mrs. Gabrielle Anastasia Humlie, LD is a Registered Dietitian OR Nutrition Professional in McMinnville, Oregon. Qualified in 2020, 6 years ago. Practices with Physicians Medical Center P C, a 21-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
6
Licensed in
OR
In the registry since
2020
What do these letters mean?
LD — Licensed Dietitian
A dietitian licensed by a state board.

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Practice location Address checks out

2435 NE Cumulus Ave Ste A
McMinnville, OR 97128-8805
Phone: (503) 472-6161
Fax: (503) 434-6290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 109 W 8th St, Newberg, OR 97132 — (503) 883-1724

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence LD-D-10209651 (OR)

Record details

NPI number1720692007
Entity typeIndividual (Type 1)
GenderFemale
Credentials LD
Sole proprietorNo
NPI enumeratedSeptember 3, 2020
Last updated in NPPESOctober 17, 2021
Certification dateOctober 17, 2021

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Physicians Medical Center P C — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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