IndividualActive
Amy Anderson, REGISTERED DIETITIAN
NPI 1285462622 · Registered Dietitian · Beaverton, OR
Provider details
- NPI number
- 1285462622
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- REGISTERED DIETITIAN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 86012258 (OR)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
1900 Nw Arcadia Ct
Beaverton, OR 97006-5608
Phone: (503) 505-0495
Approximate (ZIP-level) locationGet directions
Mailing address
1900 Nw Arcadia Ct
Beaverton, OR 97006-5608
Registry dates
- Enumerated
- 2024-07-25
- Last updated
- 2024-07-25
- Certified
- 2024-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.