| Gi Nutrition Nw, Llc | |
|
4145 Sw Watson Ave Ste 350, Beaverton, OR 97005-2191 | |
| (971) 238-2369 | |
| (971) 277-5491 |
| Full Name | Gi Nutrition Nw, Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 4145 Sw Watson Ave Ste 350, Beaverton, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427632884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Tina Marie Patnode |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1164777942 PECOS PAC ID: 9234389917 Enrollment ID: I20121016000402 |
| Provider Name | Alyssa Marie O'brien |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1023483799 PECOS PAC ID: 1951675495 Enrollment ID: I20170921001075 |
| Mailing Address | Practice Location Address |
|---|---|
| Gi Nutrition Nw, Llc 8530 Sw 147th Ter Unit 101, Beaverton, OR 97007-6978 Ph: (503) 319-8449 | Gi Nutrition Nw, Llc 4145 Sw Watson Ave Ste 350, Beaverton, OR 97005-2191 Ph: (971) 238-2369 |
Yingjie Cao, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4484 Sw Shem Ter, Beaverton, OR 97078 Phone: 206-972-0433 | |
Andrea Q Vintro, MS, RD, CSSD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 735 Sw 158th Ave # 160, Beaverton, OR 97006 Phone: 503-915-2555 | |
Amy Anderson, REGISTERED DIETITIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1900 Nw Arcadia Ct, Beaverton, OR 97006 Phone: 503-505-0495 | |
Sarah Larimer, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2935 Sw Cedar Hills Blvd, Beaverton, OR 97005 Phone: 503-352-6000 Fax: 503-352-6080 | |
Elaine Sim, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 17243 Nw Widgi Creek Ct, Beaverton, OR 97006 Phone: 503-547-4106 | |
Susan Gangler Landgren, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 15950 Sw Millikan Way, Beaverton, OR 97006 Phone: 503-646-0161 |