IndividualActive
Amanda Margolin
NPI 1720533516 · Pediatric Nutrition Registered Dietitian · Portland, OR
Provider details
- NPI number
- 1720533516
- Entity type
- Individual
- Primary specialty
- Pediatric Nutrition Registered DietitianDietary & Nutritional Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 10165396 (OR)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
9155 Sw Barnes Rd
Suite 161
Portland, OR 97225-6625
Phone: (503) 216-8034
Approximate (ZIP-level) locationGet directions
Mailing address
9155 Sw Barnes Rd
Portland, OR 97225-6625
Registry dates
- Enumerated
- 2016-08-22
- Last updated
- 2016-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.