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

Kelsey Leigh Bushong

Individual provider Nutritionist · NPI 1912575283

Kelsey Leigh Bushong is a Nutritionist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2021.

Licensed in
OR
In the registry since
2021
Specialties on file
2

Practice location Address checks out

2628 SE 47th Ave
Portland, OR 97206-1504
Phone: (503) 964-8112
Show map & directions

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

Specialties & licences

Doula (primary) Taxonomy 374J00000X (OR)
Nutritionist Taxonomy 133N00000X

Record details

NPI number1912575283
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 14, 2021
Last updated in NPPESJune 14, 2021
Certification dateJune 14, 2021

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