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

Jennifer Randall, RD

Individual provider Registered Dietitian · NPI 1558138552

Jennifer Randall, RD is a Registered Dietitian OR Nutrition Professional in Portland, Oregon. Qualified in 2022, 4 years ago. Practices with Legacy Good Samaritan Hospital and Medical Center, a 192-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
4
Licensed in
OR
In the registry since
2023
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

1040 NW 22nd Ave Ste 520
Portland, OR 97210-3097
Phone: (503) 413-7557
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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 LD-D-10238407 (OR)

Record details

NPI number1558138552
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedDecember 8, 2023
Last updated in NPPESJanuary 11, 2024
Certification dateJanuary 11, 2024
Mailing address612 Nw 20th Ave Apt 17, Portland, OR 97209-1223

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Legacy Good Samaritan Hospital And Medical Center — 192 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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