IndividualActive
Carrie Russo, NTP
NPI 1649564352 · Nutritionist · Beaverton, OR
Carrie Russo, NTP is a Nutritionist provider in Beaverton, OR (NPI 1649564352).
Provider details
- NPI number
- 1649564352
- Entity type
- Individual
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Credential
- NTP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 001012 (OR)
Practice location
650 Sw Meadow Dr
Suite 121
Beaverton, OR 97006-7130
Phone: (971) 563-5300
Street-level locationGet directions
Mailing address
650 Sw Meadow Dr
Beaverton, OR 97006-7130
Registry dates
- Enumerated
- 2011-05-31
- Last updated
- 2011-05-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.