LAURA CHRISTINE WULLSCHLEGER RDN
NPI 1639611015
Dietitian, Registered in Portland, OR

Q: What is Laura Wullschleger's NPI number?

The NPI number for Laura Wullschleger is 1639611015. It was assigned to this individual provider in the NPPES registry on November 16, 2016.

Q: What is Laura Wullschleger's specialty?

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

Active since November 16, 2016

12123 SW 69TH AVE, PORTLAND, OR 97223(971) 708-7600 Get Directions Write a Review

NPPES record last updated: May 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 14, 2021, Nov 16, 2016 (2 updates tracked since 2016).

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About Laura Christine Wullschleger Rdn NPPES

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

LAURA CHRISTINE WULLSCHLEGER RDN (NPI 1639611015) is an individual dietitian, registered in Portland, Oregon, licensed in Oregon (LD-D-10208267) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1639611015

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameLAURA CHRISTINE WULLSCHLEGERCredential: RDN

Location Address12123 SW 69TH AVEPortland, OR 97223-8514

Mailing Address1498 Se Tech Center Pl Ste 240Vancouver, WA 98683-5508 · (360) 597-1313

Phone(971) 708-7600

Sole ProprietorYes

Enumeration DateNovember 16, 2016

Last NPPES UpdateMay 14, 20212 updates tracked since enumeration

NPPES CertifiedMay 14, 2021

✔ NPI 1639611015 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 · LD-D-10208267

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.

12123 SW 69TH AVE, Portland, OR 97223

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Other Identifiers 1

Other86056281CA · Commission On Dietetic Registration Registration Id Number

Other Providers at the Same Location NPPES 20

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

KRISTEN TERVO PT

Physical Therapist