PORTLAND PEDIATRIC NUTRITION
NPI 1972012409
Dietitian, Registered in Portland, OR

Active since September 27, 2017
1730 SW SKYLINE BLVD STE 226, PORTLAND, OR 97221(971) 319-1288 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Portland Pediatric Nutrition NPPES

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

PORTLAND PEDIATRIC NUTRITION (NPI 1972012409) is a healthcare organization registered as a dietitian, registered in Portland, Oregon and active in the NPI registry since September 2017. The organization maintains a secondary practice location in Vancouver and lists Katharine Burton Jeffcoat, Dietitian/owner, as its authorized official.

NPPES Registry Identity

NPI1972012409
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NamePORTLAND PEDIATRIC NUTRITION
Location Address1730 SW SKYLINE BLVD STE 226Portland, OR 97221-2549
Mailing Address3230 Sw Gale AvePortland, OR 97239-1450 · (503) 997-8897
Organization SubpartNo
Authorized OfficialKatharine Burton JeffcoatDietitian/owner · (503) 997-8897
Enumeration DateSeptember 27, 2017
Last NPPES UpdateMarch 17, 2018
NPI 1972012409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Licenses Licensed in OR · LD-D-000479 Licensed in WA · DI60717826
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 · License LD-D-000479 (OR)
1730 SW SKYLINE BLVD STE 226, Portland, OR 97221

Secondary Practice Location 1

Location 1717 NE 61st St Ste 202Vancouver, WA 98665-8756 · Phone (971) 319-1288

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
1730 SW SKYLINE BLVD STE 226
PORTLAND, OR 97221

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 Portland Pediatric Nutrition's NPI number?

The NPI number for Portland Pediatric Nutrition is 1972012409. It was assigned to this organization in the NPPES registry on September 27, 2017.

Where is Portland Pediatric Nutrition located?

Portland Pediatric Nutrition is located at 1730 SW Skyline Blvd Ste 226, Portland, OR 97221. The listed phone number is (971) 319-1288.

What is Portland Pediatric Nutrition's specialty?

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

What insurance does Portland Pediatric Nutrition accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Portland Pediatric Nutrition 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 Portland Pediatric Nutrition was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.