IndividualActive
Nancy Graham, R.D.
NPI 1699154302 · Registered Dietitian · Portland, OR
Provider details
- NPI number
- 1699154302
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- R.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 503057 (OR)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
7201 N Interstate Ave
Portland, OR 97217-5523
Phone: (503) 240-3911
Approximate (ZIP-level) locationGet directions
Mailing address
7201 N Interstate Ave
Portland, OR 97217-5523
Registry dates
- Enumerated
- 2015-05-27
- Last updated
- 2015-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.