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

Individual provider Registered Dietitian · NPI 1619580776

Shane Gamble, RD is a Registered Dietitian in Roseburg, Oregon. Licensed in Massachusetts. Registered with an NPI since 2020.

Licensed in
MA
In the registry since
2020
Specialties on file
2
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

913 NW Garden Valley Blvd
Roseburg, OR 97471-6523
Phone: (541) 440-1000
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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 86058164
Registered Dietitian Taxonomy 133V00000X · Licence 4758 (MA)

Record details

NPI number1619580776
Entity typeIndividual (Type 1)
GenderMale
Credentials RD
Sole proprietorNo
NPI enumeratedAugust 28, 2020
Last updated in NPPESAugust 28, 2020
Certification dateAugust 27, 2020
Mailing address1025 Nw Basco Ave, Roseburg, OR 97471-6164

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