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

Caitlin Carr, RD, CDCES

Individual provider Specialist · NPI 1104534643

Caitlin Carr, RD, CDCES is a Registered Dietitian OR Nutrition Professional in Portland, Oregon. Qualified in 2021, 5 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
5
Licensed in
OR
In the registry since
2022
Specialties on file
2
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

19500 SE Stark St
Portland, OR 97233-5757
Phone: (410) 960-5120
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 10217394 (OR)
Specialist Taxonomy 174400000X · Licence 32308621

Record details

NPI number1104534643
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , CDCES
Sole proprietorYes
NPI enumeratedNovember 14, 2022
Last updated in NPPESJuly 10, 2025
Certification dateJuly 10, 2025
Mailing address1806 Hall Ct, West Linn, OR 97068-4124

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Portland