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Contact Information

STEPHANIE N ENTRIKIN, RD, LD
9135 SW BARNES RD STE 561
PORTLAND, OR97225-6643
 Phone: 503-924-7582
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for STEPHANIE N ENTRIKIN · (Female)

NPI Number 1962128140
Status Active
Credentials RD, LD
Entity Individual
Enumeration date 10/18/2022
Last updated 04/21/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • OR License # LD-D-10226577
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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