IndividualActive
Andrew Dagostino
NPI 1356005482 · Registered Dietitian · Newberg, OR
Provider details
- NPI number
- 1356005482
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 98115 (CA)
Mailing address
4721 Se 70th Ave
Portland, OR 97206-4454
Registry dates
- Enumerated
- 2021-10-25
- Last updated
- 2021-10-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.