Amanda Kristine Fredrickson, R.D.

Registered Dietitian · Portland, OR

Individual Active NPI

NPI number 1346852365

Practice location

3611 SE 64TH Ave.
Portland, OR 97206
Phone
(503) 494-8300

Open in Google Maps

NPI record

NPI
1346852365
Entity type
Individual (Type 1)
Enumeration date
August 20, 2020
Last updated
August 20, 2020
Certified
August 20, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Dietitian Primary 133V00000X — —

About Amanda Fredrickson

Amanda Kristine Fredrickson, R.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Dietitian (code 133V00000X). The practice location is 3611 SE 64TH Ave., Portland, OR 97206. The NPI number 1346852365 was assigned on August 20, 2020 and the record was last updated on August 20, 2020.

Frequently asked questions

What is the NPI number of Amanda Kristine Fredrickson, R.D.?

The NPI number is 1346852365.

What is the phone number of Amanda Fredrickson?

The phone number listed for the practice location is (503) 494-8300.

Where is Amanda Fredrickson located?

3611 SE 64TH Ave., Portland, OR 97206.

What is the taxonomy code for Amanda Fredrickson?

The primary taxonomy code is 133V00000X – Registered Dietitian.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Registered Dietitian providers in Portland

All Registered Dietitian providers in Portland, OR →