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

Cassidy Axelrod

Individual provider Nutritionist · NPI 1902583784

Cassidy Axelrod is a Nutritionist in Portland, Oregon. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

15322 SE Arista Dr
Portland, OR 97267-2655
Phone: (760) 518-3326
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nutritionist (primary) Taxonomy 133N00000X

Record details

NPI number1902583784
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 3, 2023
Last updated in NPPESJuly 3, 2023
Certification dateJuly 3, 2023
Mailing address15322 Se Arista Dr, Portland, OR 97267-2655

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