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

Portland Nutrition Group LLC

Organization Registered Dietitian · NPI 1407793193

Portland Nutrition Group LLC is a Registered Dietitian in Portland, Oregon. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

555 SE Martin Luther King Blvd
Portland, OR 97214-2526
Phone: (813) 324-1862
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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 number1407793193
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Viktor Lopatkin — President · (813) 324-1862
NPI enumeratedApril 30, 2026
Last updated in NPPESApril 30, 2026
Certification dateApril 30, 2026
Mailing address555 Se Martin Luther King Blvd, Portland, OR 97214-2526

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