Individual provider · Type 1 NPI

Patricia A. Rose, RD, CSP, LD

Pediatric Nutrition Registered Dietitian · Portland, OR

NPI number 1376685883 Active

Practice location

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

Mailing address

3543 NE Schuyler St
Portland, OR 97212-5152

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nutrition Registered Dietitian Primary 133VN1004X571 (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 1376685883

Patricia A. Rose, RD, CSP, LD's National Provider Identifier is 1376685883, issued on Feb 12, 2007. 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 Jul 8, 2007.