| Gi Nutrition Nw, Llc | |
|
2175 Nw Raleigh St Ste 110, Portland, OR 97210-2392 | |
| (971) 238-2369 | |
| (971) 277-5491 |
| Full Name | Gi Nutrition Nw, Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 2175 Nw Raleigh St Ste 110, Portland, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427632884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Tina Marie Patnode |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1164777942 PECOS PAC ID: 9234389917 Enrollment ID: I20121016000402 |
| Provider Name | Alyssa Marie O'brien |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1023483799 PECOS PAC ID: 1951675495 Enrollment ID: I20170921001075 |
| Mailing Address | Practice Location Address |
|---|---|
| Gi Nutrition Nw, Llc 2175 Nw Raleigh St Ste 110, Portland, OR 97210-2392 Ph: (503) 319-8449 | Gi Nutrition Nw, Llc 2175 Nw Raleigh St Ste 110, Portland, OR 97210-2392 Ph: (971) 238-2369 |
Kara Marie Odiaga, RD, CSR, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 703 Ne Hancock St, Portland, OR 97212 Phone: 503-493-3322 Fax: 503-287-9434 | |
Mrs. April D Mitsch, RD Dietitian Medicare: Medicare Enrolled Practice Location: 700 Sw Campus Dr, Portland, OR 97239 Phone: 503-494-8362 Fax: 503-494-4447 | |
Julie Marie Martin, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-5466 | |
Alavita Perinatal Nutrition Associates, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 106 Sw Woods St Ste A, Portland, OR 97201 Phone: 503-407-2549 | |
Jennifer Ching, Dietitian Medicare: Medicare Enrolled Practice Location: 9701 Sw Barnes Rd Ste 300, Portland, OR 97225 Phone: 503-297-8108 Fax: 503-292-6601 | |
Mary Ann Weinberg, RD, CNSD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7597 | |
Ms. Janet Lee Muckridge, RD LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3550 N Interstate Ave, Nutrition Department East Interstate, Portland, OR 97227 Phone: 503-286-6871 |