IndividualActive
Jessica Belknap, MS, RD, LD, CLC
NPI 1104651421 · Registered Dietitian · Portland, OR
Provider details
- NPI number
- 1104651421
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- MS, RD, LD, CLC
- Sex
- Female
- Sole proprietor
- No
- License
- LD-D-10240812 (OR)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
4805 Ne Glisan St
Portland, OR 97213-2933
Phone: (503) 215-5160
Street-level locationGet directions
Mailing address
4805 Ne Glisan St
Portland, OR 97213-2933
Additional practice locations (1)
- 141 Ogden DrOregon City, OR 97045-3039Phone: (503) 803-5207
Registry dates
- Enumerated
- 2024-09-05
- Last updated
- 2024-09-05
- Certified
- 2024-09-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.