Healthcare Provider Details

I. General information

NPI: 1346121886
Provider Name (Legal Business Name): ELIZABETH ZIMBELMAN MS, RD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2025
Last Update Date: 08/08/2026
Certification Date: 08/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 HINES ST SE
SALEM OR
97302-1337
US

IV. Provider business mailing address

PO BOX 4541
SALEM OR
97302-8541
US

V. Phone/Fax

Practice location:
  • Phone: 503-743-7815
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: