Pacific Nutrition Collective LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

PACIFIC NUTRITION COLLECTIVE LLC

Practice address

4605 NE Fremont St Ste 210B
Portland, OR 97213-1707

Phone

(503) 482-2170

NPI assigned

Aug 21, 2026

Organization subpart

No

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

Authorized official

Name

Dulcinea Childs, RD, MSN

Title

Owner, Dietitian

Phone

(503) 396-8854

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1787270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787270400000",
    "number": "1487560108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3519 NE 15TH AVE UNIT 707",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972122356",
            "telephone_number": "503-482-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 NE FREMONT ST STE 210B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131707",
            "telephone_number": "503-482-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC NUTRITION COLLECTIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-21",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A",
        "authorized_official_last_name": "CHILDS",
        "authorized_official_first_name": "DULCINEA",
        "authorized_official_title_or_position": "OWNER, DIETITIAN",
        "authorized_official_telephone_number": "503-396-8854",
        "authorized_official_credential": "RD, MSN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Aug 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.