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

Individual provider Registered Dietitian · NPI 1700149580

Carole L Matiaco, RD, LD is a Registered Dietitian in Tigard, Oregon. Licensed in Oregon. Registered with an NPI since 2012.

Licensed in
OR
In the registry since
2012
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.
LD — Licensed Dietitian
A dietitian licensed by a state board.

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Practice location Address checks out

15895 SW 72nd Ave Ste 250 Bldg B
Tigard, OR 97224-7977
Phone: (503) 624-5630
Fax: (503) 624-9149
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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 000965 (OR)

Record details

NPI number1700149580
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , LD
Sole proprietorNo
NPI enumeratedJune 18, 2012
Last updated in NPPESMarch 27, 2015

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