Individual provider · Type 1 NPI

Suzanne Black, RDN

Registered Dietitian · Portland, OR

NPI number 1760980874 Active

Practice location

5211 NE Glisan St Bldg C
Portland, OR 97213-3052

Call (503) 215-6628 Map

Mailing address

PO Box 3158
Portland, OR 97208-3158

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XLD-D-000313 (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 1760980874

Suzanne Black, RDN's National Provider Identifier is 1760980874, issued on Jan 24, 2018. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Portland, OR. The record was last updated on Apr 3, 2019.