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

This

Organization Registered Dietitian · NPI 1598291999

This is a Registered Dietitian in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2017.

Licensed in
OR
In the registry since
2017

Practice location Address checks out

1312 E Burnside St
Portland, OR 97214-1424
Phone: (503) 949-5499
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 10162720 (OR)

Record details

NPI number1598291999
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Esatto — Dietitian, Owner · (503) 949-5499
NPI enumeratedMay 4, 2017
Last updated in NPPESMay 4, 2017
Mailing address3824 Se 98th Ave, Portland, OR 97266-2502

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