Individual provider · Type 1 NPI

Audrey Easttum, RD, CSP, LD

Pediatric Nutrition Registered Dietitian · Portland, OR

NPI number 1104125608 Active

Practice location

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

Call (503) 418-5257 Map

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nutrition Registered Dietitian Primary 133VN1004X1016 (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 1104125608

Audrey Easttum, RD, CSP, LD's National Provider Identifier is 1104125608, issued on Mar 23, 2011. 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 Mar 8, 2022.