Gi Nutrition NW, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

GI NUTRITION NW, LLC

Practice address

2175 NW Raleigh St Ste 110
Portland, OR 97210-2392

Phone

(971) 238-2369

Fax

(971) 277-5491

NPI assigned

May 11, 2021

Last updated

Mar 7, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tina Patnode, RDN, LDNPI 1164777942

Title

Owner

Phone

(971) 238-2369

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tina Patnode, RD, LD

  • Registered Dietitian
  • Portland, OR
  • NPI 1164777942

  Dietitian, Registered

  Medicare reassignment Care Compare group NPD Authorized official
• Alyssa Marie O'Brien, RD

  • Registered Dietitian
  • Portland, OR
  • NPI 1023483799

  Dietitian, Registered

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1427632884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2175 NW RALEIGH ST STE 110",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102392",
            "telephone_number": "503-319-8449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 NW RALEIGH ST STE 110",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102392",
            "telephone_number": "971-238-2369",
            "fax_number": "971-277-5491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "516 SE Chkalov Dr Ste 49",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986835277",
            "country_code": "US",
            "telephone_number": "971-238-2369",
            "fax_number": "971-277-5491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GI NUTRITION NW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-11",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-02",
        "status": "A",
        "authorized_official_last_name": "PATNODE",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-238-2369",
        "authorized_official_credential": "RDN, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tabitha M Gholi, FNP-C
• Julie Gholson
• James M Ghormley Sr., PA-C
• Moyukh Ghosh, M.D.
• Gi North Equipment Corporation (The Oregon Clinic Endoscopy Center - North)
• Tiffany Giackino-Baisch, LCSW,
• Kara Giaier, D.C.
• Melissa Giampietri
• Caroline Giancone, RN
• Jessica Giang, RDH

• Registered Dietitian in Portland, OR
• Providers in Portland, OR by specialty
• Registered Dietitian in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.