STEPHANIE N ENTRIKIN RD, LD
NPI 1962128140
Dietitian, Registered in Portland, OR

Q: What is Stephanie Entrikin's NPI number?

The NPI number for Stephanie Entrikin is 1962128140. It was assigned to this individual provider in the NPPES registry on October 18, 2022. The provider is also known as Stephanie N Anderson Rd.

Q: What is Stephanie Entrikin's specialty?

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

Active since October 18, 2022

9135 SW BARNES RD STE 561, PORTLAND, OR 97225(503) 924-7582 Get Directions Write a Review

NPPES record last updated: April 21, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Stephanie N Entrikin Rd, Ld NPPES

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

STEPHANIE N ENTRIKIN RD, LD (NPI 1962128140) is an individual dietitian, registered in Portland, Oregon, licensed in Oregon (LD-D-10226577) and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1962128140

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameSTEPHANIE N ENTRIKINCredential: RD, LD

Location Address9135 SW BARNES RD STE 561Portland, OR 97225-6643

Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494

Phone(503) 924-7582

Sole ProprietorNo

Enumeration DateOctober 18, 2022

Last NPPES UpdateApril 21, 2023

NPPES CertifiedApril 21, 2023

✔ NPI 1962128140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in OR · LD-D-10226577

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.

Also ListedDietitian, Registered · Nutrition, PediatricTaxonomy 133VN1004X

9135 SW BARNES RD STE 561, Portland, OR 97225

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Other Names 1

Former Name (1)Stephanie N Anderson Rd

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie N Entrikin Rd, Ld is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Stephanie Entrikin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Providence Health & Services - Oregon

Same address

Obstetrics & Gynecology

9135 SW BARNES RD STE 761
Portland, OR 97225

Reassigned Medicare billing, Oregon enrollment
1,501 clinicians in this Medicare group

NPI 1154427821 (503) 216-2602

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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