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

Portland Pediatric Nutrition

Organization Registered Dietitian · NPI 1972012409

Portland Pediatric Nutrition is a Registered Dietitian in Portland, Oregon. Works from 2 locations. Licensed in Oregon and Washington.

Licensed in
OR, WA
In the registry since
2017
Specialties on file
3

Practice location Address checks out

1730 SW Skyline Blvd Ste 226
Portland, OR 97221-2549
Phone: (971) 319-1288
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence LD-D-000479 (OR)
Registered Dietitian Taxonomy 133V00000X · Licence DI60717826 (WA)
Pediatric Nutrition Registered Dietitian Taxonomy 133VN1004X · Licence LD-D-000479 (OR)

Record details

NPI number1972012409
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Katharine Jeffcoat — Dietitian/Owner · (503) 997-8897
NPI enumeratedSeptember 27, 2017
Last updated in NPPESMarch 17, 2018
Mailing address3230 Sw Gale Ave, Portland, OR 97239-1450

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