Organization · Type 2 NPI

Homegrown Pediatric Nutrition

Registered Dietitian · Portland, OR

NPI number 1114861382 Active

Practice location

5441 S Macadam Ave Ste N
Portland, OR 97239-3822

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XNone listed

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1114861382

Homegrown Pediatric Nutrition's National Provider Identifier is 1114861382, issued on Apr 16, 2026. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Portland, OR. The record was last updated on Apr 16, 2026.