Leslie A Brenton, RD LD
Individual provider Active NPI Registered Dietitian · Portland, OR
NPI 1417730367 · NPPES record last updated Jan 5, 2026
Key facts
- NPI
- 1417730367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- LD-D-10194754 (OR)
- Practice address
- 9701 SW Barnes Rd Ste 300
Portland, OR 97225-6689 - Phone
- (503) 297-8081
- Fax
- (503) 292-6601
- NPI assigned
- Aug 15, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Oregon Clinic, PC
Practice addresses (Care Compare)
5050 NE Hoyt
Suite 655
Portland, OR 97213-2990
Phone (503) 239-6673
9701 SW Barnes
Suite 300
Portland, OR 97225-6689
Phone (503) 297-8081
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230906000615 | OR | Practitioner - Registered Dietitian Or Nutrition Professional | 6103289368 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Oregon Clinic, PC | Current |
Accepting new patients | |
| The Oregon Clinic PC | Current |
Accepting new patients |
Locations
5050 NE Hoyt St
Ste 655
Portland, OR 97213
Phone (503) 239-6673
9701 SW Barnes Rd
Ste 300
Portland, OR 97225
Phone (503) 297-8081
541 NE 20th Ave
Ste 225
Portland, OR 97232
Phone (503) 963-2801
847 NE 19th Ave
Ste 300
Portland, OR 97232
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD-D-10194754 | OR | Yes |
Addresses
Primary practice location
9701 SW Barnes Rd Ste 300
Portland, OR 97225-6689
Mailing address
541 NE 20TH Ave Ste 225
Portland, OR 97232-2895
Phone (503) 963-2801
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500825119 | Medicaid | OR | |
| 2258226 | Medicaid | WA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cc_otoc_gastro_west_front_desk_pool12223293@oc.providencedirect.org | The Oregon Clinic PC |
Other providers in Portland, OR
- Loren Brenner
- Brent Felnagle Psychology LLC
- Brent Frazee, MD, LLC
- Eric R. Brentlinger
- Amy Rose Brenton
- James Bresee
- Morgan Christina Bresko
- Mary Katherine Breslin
- Brandon Bressi
- Benjamin Bressler
All providers in Portland, OR · Registered Dietitian in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.