IndividualActive
Katherine Bagwell, RD, CSO, LD
NPI 1447747951 · Registered Dietitian · Portland, OR
Provider details
- NPI number
- 1447747951
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD, CSO, LD
- Sex
- Female
- Sole proprietor
- No
- License
- 000981 (OR)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
3181 Sw Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 418-9731
Approximate (ZIP-level) locationGet directions
Mailing address
3181 Sw Sam Jackson Park Rd
Portland, OR 97239-3011
Registry dates
- Enumerated
- 2018-04-19
- Last updated
- 2018-04-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.