Individual provider · Type 1 NPI

Jaede Stank

Registered Dietitian · Portland, OR

NPI number 1255249207 Active

Practice location

30 NE Martin Luther King Blvd
Portland, OR 97232-2941

Call (503) 232-1099 Map

Mailing address

3057 SW 173rd Ave
Beaverton, OR 97003-5586

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 1255249207

Jaede Stank's National Provider Identifier is 1255249207, issued on Aug 31, 2026. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Portland, OR. The record was last updated on Aug 31, 2026.