IndividualActive
Jackie Brown, RDN
NPI 1902528516 · Oncology Nutrition Registered Dietitian · Portland, OR
Provider details
- NPI number
- 1902528516
- Entity type
- Individual
- Primary specialty
- Oncology Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RDN
- Sex
- Female
- Sole proprietor
- No
- License
- 000587 (OR)
Practice location
Garden Level
4805 Ne Glisan St
Portland, OR 97213
Phone: (503) 215-6029
Fax: (503) 215-6387
Mailing address
3715 Se Harvey St
Milwaukie, OR 97222-5806
Registry dates
- Enumerated
- 2022-09-12
- Last updated
- 2022-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.