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

Jennifer Deboer Roark, RDLD

Individual provider Registered Dietitian · NPI 1619008190

Jennifer Deboer Roark, RDLD is a Registered Dietitian in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2007.

Licensed in
OR
In the registry since
2007

Practice location Address checks out

4552 SW Nevada St
Portland, OR 97219-1548
Phone: (971) 235-4723
Show map & directions

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

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 733 (OR)

Record details

NPI number1619008190
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDLD
Sole proprietorNo
NPI enumeratedMarch 8, 2007
Last updated in NPPESOctober 1, 2025
Certification dateOctober 1, 2025

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