Organization · Type 2 NPI

Pacific Nutrition Collective LLC

Registered Dietitian · Portland, OR

NPI number 1487560108 Active

Practice location

4605 NE Fremont St Ste 210B
Portland, OR 97213-1707

Mailing address

3519 NE 15th Ave Unit 707
Portland, OR 97212-2356

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 1487560108

Pacific Nutrition Collective LLC's National Provider Identifier is 1487560108, issued on Aug 21, 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 21, 2026.