Portland Pediatric Nutrition

LBN: Portland Pediatric Nutrition
Portland Pediatric Nutrition is an health care organization with primary practice located at 1730 Sw Skyline Blvd Ste 226 , Portland OR 97221-2549. The organization recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Pediatric. Dietary & Nutritional Service Providers / Dietitian, Registered is the primary health care specialty. Portland Pediatric Nutrition can be contacted via phone (971) 319-1288, or through Jeffcoat, Katharine Burton via phone (503) 997-8897.

Contact Information

Primary practice address
1730 Sw Skyline Blvd Ste 226 Portland OR 97221-2549
Phone: (971) 319-1288
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jeffcoat, Katharine Burton RDN, LD, CLT
Phone: (503) 997-8897

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X LD-D-000479 Oregon
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DI60717826 Washington
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X LD-D-000479 Oregon

Profile Details

NPI number 1972012409
LBN Legal business name Portland Pediatric Nutrition
DBA Doing business as
Authorized official Jeffcoat, Katharine Burton RDN, LD, CLT
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2017
Last updated Mar 17th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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