IndividualActive
Andrea Vintro, MS, RD, CSSD, LD
NPI 1205130382 · Registered Dietitian · Beaverton, OR
Provider details
- NPI number
- 1205130382
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- MS, RD, CSSD, LD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1029 (OR)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
735 Sw 158th Ave # 160
Beaverton, OR 97006-4952
Phone: (503) 915-2555
Approximate (ZIP-level) locationGet directions
Mailing address
2116 Sw 19th Ave
Portland, OR 97201-2352
Registry dates
- Enumerated
- 2011-01-04
- Last updated
- 2011-01-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.