Individual provider · Type 1 NPI

Corleen Angela Bantugon

Registered Dietitian · Portland, OR

NPI number 1336029479 Active

Practice location

9155 SW Barnes Rd, Suite 435, Medical Office Building #3
Portland, OR 97225-6625

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 1336029479

Corleen Angela Bantugon's National Provider Identifier is 1336029479, issued on Sep 8, 2025. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Portland, OR. The record was last updated on Sep 8, 2025.