IndividualActive
Angela Kockler, RD, MBA
NPI 1902641962 · Registered Dietitian · Portland, OR
Provider details
- NPI number
- 1902641962
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD, MBA
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
1915 Se 47th Ave
Portland, OR 97215-3209
Phone: (415) 350-0706
Approximate (ZIP-level) locationGet directions
Mailing address
1915 Se 47th Ave
Portland, OR 97215-3209
Registry dates
- Enumerated
- 2024-07-01
- Last updated
- 2024-07-01
- Certified
- 2024-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.