Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Samara Lily Roman-Holba, MS, EDM, RD, LD

Individual provider Mental Health Counselor · NPI 1417612151

Samara Lily Roman-Holba, MS, EDM, RD, LD is a Mental Health Counselor in Portland, Oregon. Practices as a sole proprietor and works from 2 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2021
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
RD — Registered Dietitian
A credentialed nutrition professional.
LD — Licensed Dietitian
A dietitian licensed by a state board.

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Practice location Address checks out

2143 NE Broadway St Ste 9
Portland, OR 97232-1512
Phone: (310) 906-8950
Fax: (855) 702-2328
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 999 Abernethy Rd, Oregon City, OR 97045-1175 — (971) 334-9380

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence LD-D-10217666 (OR)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1417612151
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , EDM , RD , LD
Sole proprietorYes
NPI enumeratedNovember 8, 2021
Last updated in NPPESMay 23, 2025
Certification dateMay 23, 2025

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