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CAROLE L MATIACO RD, LD
NPI 1700149580
Dietitian, Registered in Tigard, OR

Active since June 18, 2012
15895 SW 72ND AVE, SUITE 250 BLDG B, TIGARD, OR 97224(503) 624-5630(503) 624-9149 Get Directions Write a Review

NPPES record last updated: March 27, 2015. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Carole L Matiaco Rd, Ld NPPES

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

CAROLE L MATIACO RD, LD (NPI 1700149580) is an individual dietitian, registered in Tigard, Oregon, licensed in Oregon (000965) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1700149580
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameCAROLE L MATIACOCredential: RD, LD
Location Address15895 SW 72ND AVE, SUITE 250 BLDG BTigard, OR 97224-7977
Mailing Address15895 Sw 72nd Ave, Suite 250Tigard, OR 97224-7977 · (503) 624-5630 · Fax (503) 624-9149
Phone(503) 624-5630
Fax(503) 624-9149
Sole ProprietorNo
Enumeration DateJune 18, 2012
Last NPPES UpdateMarch 27, 2015
✔ NPI 1700149580 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 · 000965
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.
15895 SW 72ND AVE, Tigard, OR 97224
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Other Identifiers 2

Medicare PINR165118OR
Medicaid5000662380OR

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.

JILL MARONDE MS NUTRITION
Nutritionist
15895 SW 72ND AVE
PORTLAND, OR 97224
Washington County (503) 430-1952
MS. BRITTA ANDREWS LAC
Acupuncturist
15895 SW 72ND AVE
PORTLAND, OR 97224
Washington County (503) 430-1925
DR. TODD DALYN THISTLE D.C.
Chiropractor
15895 SW 72ND AVE, SUITE 120
PORTLAND, OR 97224
Washington County (503) 430-1952
INNER BALANCE MASSAGE
Health Maintenance Organization
15895 SW 72ND AVE
PORTLAND, OR 97224
Washington County (503) 939-8304

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 Carole Matiaco's NPI number?

The NPI number for Carole Matiaco is 1700149580. It was assigned to this individual provider in the NPPES registry on June 18, 2012.

Where is Carole Matiaco located?

Carole Matiaco practices at 15895 SW 72nd Ave Suite 250 Bldg B, Tigard, OR 97224. The listed phone number is (503) 624-5630.

What is Carole Matiaco's specialty?

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

When was this NPI record last updated?

The NPPES record for Carole Matiaco was last updated on March 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.