Organization Active NPI

Nutrition Counseling NW

  • Registered Dietitian
  • Portland, OR
National Provider Identifier
1548779028
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
000407 Issued in OR
Legal business name
NUTRITION COUNSELING NW
Practice address
520 SW Yamhill St Ste 345
Portland, OR 97204-1335
Phone
(503) 908-4304
NPI assigned
Sep 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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

Authorized official

Name
Valerie Edwards, MS, RD, LDNPI 1366872715
Title
Registered Dietitian
Phone
(503) 908-4304

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 000407 OR Primary

Addresses

Primary practice location

520 SW Yamhill St Ste 345
Portland, OR 97204-1335

Mailing address

2324 N Sumner St
Portland, OR 97217-3835

National Provider Directory

National Provider Directory

Locations

1220 SW Morrison St
Ste 905
Portland, OR 97205
Phone (503) 515-1791

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571011200000",
    "number": "1548779028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 N SUMNER ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972173835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SW YAMHILL ST STE 345",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972041335",
            "telephone_number": "503-908-4304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION COUNSELING NW",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-27",
        "last_updated": "2019-10-14",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "503-908-4304",
        "authorized_official_credential": "MS, RD, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "000407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.