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

Sandra L Moreno, RD

Individual provider Registered Dietitian · NPI 1790375020

Sandra L Moreno, RD is a Registered Dietitian OR Nutrition Professional in Portland, Oregon. Qualified in 2016, 10 years ago. Practices with Providence Health and Services Oregon, a 1,426-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
10
Licensed in
OR
In the registry since
2021
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

9427 SW Barnes Rd Ste 395
Portland, OR 97225-6652
Phone: (503) 216-6050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1201 Court St Ne Ste 310a, Salem, OR 97301-4182 — (503) 395-8890

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 10181188 (OR)

Record details

NPI number1790375020
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedJanuary 20, 2021
Last updated in NPPESNovember 25, 2025
Certification dateNovember 25, 2025
Mailing address9427 Sw Barnes Rd Ste 395, Portland, OR 97225-6652

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Providence Health And Services Oregon — 1426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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