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LUCY MARDEN WILD RD
NPI 1760076202
Dietitian, Registered in Portland, OR

Active since February 25, 2021
2705 E BURNSIDE ST STE 206, PORTLAND, OR 97214(732) 963-6670 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 10, 2025, Dec 11, 2024, Feb 25, 2021 (3 updates tracked since 2021).

About Lucy Marden Wild Rd NPPES

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

LUCY MARDEN WILD RD (NPI 1760076202) is an individual dietitian, registered in Portland, Oregon, licensed in Oregon (LD-D-10230579) and active in the NPI registry since February 2021. She maintains a secondary practice location in Hoboken.

NPPES Registry Identity

NPI1760076202
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameLUCY MARDEN WILDCredential: RD
Location Address2705 E BURNSIDE ST STE 206Portland, OR 97214-1768
Mailing Address2705 E Burnside St Ste 206Portland, OR 97214-1768 · (732) 963-6670
Phone(732) 963-6670
Sole ProprietorNo
Enumeration DateFebruary 25, 2021
Last NPPES UpdateOctober 10, 20253 updates tracked since enumeration
NPPES CertifiedOctober 10, 2025
✔ NPI 1760076202 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-10230579
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.
2705 E BURNSIDE ST STE 206, Portland, OR 97214
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Secondary Practice Location 1

Location 11450 Garden StHoboken, NJ 07030-4595 · Phone (732) 963-6670

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

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.

ERIN HARRELL
Counselor (Mental Health)
2705 E BURNSIDE ST STE 206
PORTLAND, OR 97214
Multnomah County (503) 922-6330
JED RENDLEMAN LMFT
Marriage & Family Therapist
2705 E BURNSIDE ST STE 206
PORTLAND, OR 97214
Multnomah County (971) 275-3551
LINDSEY LUNDIN LPC
Counselor (Professional)
2705 E BURNSIDE ST STE 206
PORTLAND, OR 97214
Multnomah County (971) 415-2204
CURIO INTEGRATIVE MENTAL HEALTH LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
2705 E BURNSIDE ST STE 206
PORTLAND, OR 97214
Multnomah County (503) 489-7831
PLUSPSYCHIATRY LLC
Nurse Practitioner (Psychiatric/Mental Health)
2705 E BURNSIDE ST STE 206
PORTLAND, OR 97214
Multnomah County (541) 414-4277
MRS. BRITT AXNESS L.C.S.W.
Social Worker (Clinical)
2705 E BURNSIDE ST STE 206
PORTLAND, OR 97214
Multnomah County (503) 964-4831
SHANNA KRAMER LPC
Counselor (Mental Health)
2705 E BURNSIDE ST STE 206
PORTLAND, OR 97214
Multnomah County (503) 487-3970
HEATHER MITCHELL M.A., LPC, LMHC
Counselor (Mental Health)
2705 E BURNSIDE ST STE 206
PORTLAND, OR 97214
Multnomah County (971) 269-8782

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 Lucy Wild's NPI number?

The NPI number for Lucy Wild is 1760076202. It was assigned to this individual provider in the NPPES registry on February 25, 2021.

Where is Lucy Wild located?

Lucy Wild practices at 2705 E Burnside St Ste 206, Portland, OR 97214. The listed phone number is (732) 963-6670.

What is Lucy Wild's specialty?

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

What insurance does Lucy Wild accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Lucy Wild as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lucy Wild was last updated on October 10, 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.