Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Homegrown Pediatric Nutrition

Organization Registered Dietitian · NPI 1114861382

Homegrown Pediatric Nutrition is a Registered Dietitian in Portland, Oregon. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

5441 S Macadam Ave Ste N
Portland, OR 97239-3822
Phone: (971) 260-2060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1114861382
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melissa Nash — Dietitian · (971) 260-2060
NPI enumeratedApril 16, 2026
Last updated in NPPESApril 16, 2026
Certification dateApril 16, 2026
Mailing address5441 S Macadam Ave Ste N, Portland, OR 97239-3822

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