Organization · Type 2 NPI

Portland Pediatric Nutrition

Registered Dietitian · Portland, OR

NPI number 1972012409 Active

Practice location

1730 SW Skyline Blvd Ste 226
Portland, OR 97221-2549

Call (971) 319-1288 Map

Mailing address

3230 SW Gale Ave
Portland, OR 97239-1450

Other practice locations

  • 717 NE 61st St Ste 202, Vancouver, WA 98665-8756 · (971) 319-1288

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XLD-D-000479 (OR)
Registered Dietitian 133V00000XDI60717826 (WA)
Pediatric Nutrition Registered Dietitian 133VN1004XLD-D-000479 (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 1972012409

Portland Pediatric Nutrition's National Provider Identifier is 1972012409, issued on Sep 27, 2017. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Portland, OR. The record was last updated on Mar 17, 2018.