Individual provider · Type 1 NPI

Shannon Thorum, MS, RD, LD

Pediatric Nutrition Registered Dietitian · Portland, OR

NPI number 1023366770 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Call (503) 418-5257 Map

Fax (503) 494-3769

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nutrition Registered Dietitian Primary 133VN1004XLDD10144588 (OR)

Pediatric Nutrition Registered Dietitian: An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, educatio…

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About NPI 1023366770

Shannon Thorum, MS, RD, LD's National Provider Identifier is 1023366770, issued on Aug 28, 2012. The primary taxonomy on file is Pediatric Nutrition Registered Dietitian (133VN1004X), and the practice location is in Portland, OR. The record was last updated on Aug 28, 2012.