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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PORTLAND PEDIATRIC NUTRITION

Active Organization

Registered Dietitian · PORTLAND, OR

Registration Details

NPI Number
1972012409
Provider Type
Organization
NPI Issued
Sep 27, 2017 (8.567022627941 yrs)
Last Updated
Mar 17, 2018
Licenses
DI60717826 (WA)
LD-D-000479 (OR)
LD-D-000479 (OR)

Practice Information

Address
1730 SW SKYLINE BLVD STE 226
PORTLAND, OR, 972212549
Browse OR providers · Browse ZIP 97221
Phone
9713191288
Primary Specialty
Registered Dietitian
133V00000X
Additional Specialty
Pediatric Nutrition
Additional Specialty
Registered Dietitian

Other Registered Dietitian Organizations in PORTLAND, OR

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.