TANA ROSE BLODGETT-ROUSH MS, RD
NPI 1205708997
Dietitian, Registered in Portland, OR

Q: What is Tana Blodgett-roush's NPI number?

The NPI number for Tana Blodgett-roush is 1205708997. It was assigned to this individual provider in the NPPES registry on September 22, 2025.

Q: What is Tana Blodgett-roush's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Active since September 22, 2025

9427 SW BARNES RD STE 390, PORTLAND, OR 97225(844) 987-0491 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tana Rose Blodgett-roush Ms, Rd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TANA ROSE BLODGETT-ROUSH MS, RD (NPI 1205708997) is an individual dietitian, registered in Portland, Oregon, licensed in Oregon (10260522) and active in the NPI registry since September 2025. She maintains a secondary practice location in Portland and is a graduate of Other (2025).

NPPES Registry Identity

NPI1205708997

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameTANA ROSE BLODGETT-ROUSHCredential: MS, RD

Location Address9427 SW BARNES RD STE 390Portland, OR 97225-6652

Mailing Address9427 Sw Barnes Rd Ste 390Portland, OR 97225-6652 · (503) 216-2111

Phone(844) 987-0491

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateSeptember 22, 2025

Last NPPES UpdateNovember 4, 2025

NPPES CertifiedNovember 4, 2025

✔ NPI 1205708997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in OR · 10260522

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

9427 SW BARNES RD STE 390, Portland, OR 97225

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Secondary Practice Location 1

Location 14805 NE Glisan St Ste 6N40Portland, OR 97213-2933 · Phone (503) 215-7230

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tana Rose Blodgett-roush Ms, Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648767087

PECOS Enrollment IDI20251017001707

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LAUREN PARK MARTIN PITRE MS, RDN

Dietitian, Registered (Nutrition, Obesity and Weight Management)

9427 SW BARNES RD STE 390
PORTLAND, OR 97225

Washington County (416) 316-8114

LESLIE GILDERSLEEVE BETTENCOURT RD

Dietitian, Registered

9427 SW BARNES RD STE 390
PORTLAND, OR 97225

Washington County (503) 215-7230

DR. MELINDA GREY HONEYCUTT PSYD

Psychologist (Clinical)

9427 SW BARNES RD STE 390
PORTLAND, OR 97225

Washington County (503) 216-2111

VICKY HOANG NGUYEN PA-C

Physician Assistant

9427 SW BARNES RD STE 390
PORTLAND, OR 97225

Washington County (503) 216-2111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tana Blodgett-roush's NPI number?

The NPI number for Tana Blodgett-roush is 1205708997. It was assigned to this individual provider in the NPPES registry on September 22, 2025.

Where is Tana Blodgett-roush located?

Tana Blodgett-roush practices at 9427 SW Barnes Rd Ste 390, Portland, OR 97225. The listed phone number is (844) 987-0491.

What is Tana Blodgett-roush's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Tana Blodgett-roush enrolled in Medicare?

Yes. Tana Blodgett-roush is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tana Blodgett-roush was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.