IndividualActive
Jessie Hann, MS,RD,LD,CD,CDCES
NPI 1104083492 · Registered Dietitian · Portland, OR
Provider details
- NPI number
- 1104083492
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- MS,RD,LD,CD,CDCES
- Sex
- Female
- Sole proprietor
- No
- License
- 461 (OR)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1700 Ne 102nd Ave
Portland, OR 97220-3804
Phone: (503) 250-4326
Fax: (971) 229-6709
Street-level locationGet directions
Mailing address
1700 Ne 102nd Ave
Portland, OR 97220-3804
Registry dates
- Enumerated
- 2008-05-22
- Last updated
- 2023-08-02
- Certified
- 2023-08-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.