Individual provider · Type 1 NPI
Jennifer Deboer Roark, RD LD
Registered Dietitian · Portland, OR
Practice location
4552 SW Nevada St
Portland, OR 97219-1548
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Dietitian Primary | 133V00000X | 733 (OR) |
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 1619008190
Jennifer Deboer Roark, RD LD's National Provider Identifier is 1619008190, issued on Mar 8, 2007. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Portland, OR. The record was last updated on Oct 1, 2025.