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Mrs. Jennifer Nickell, MS,RD,LD
Pediatric Nutrition Registered Dietitian in Lake Oswego, Oregon
NPI 1164832713

Jennifer Nickell is a Pediatric Nutrition Registered Dietitian based in Lake Oswego, OR and is specialized in Nutrition, Pediatric. Jennifer Nickell practices in Lake Oswego, OR and has the professional credentials of MS,RD,LD. The NPI Number for Jennifer Nickell is 1164832713 and holds a License No. LD-D-10159758 (Oregon).

The current practice location address for Jennifer Nickell is 4948 Sw Meadow Ave, Lake Oswego, OR and can be reached out via phone at 503-744-2061.

Location: 4948 Sw Meadow Ave, Lake Oswego, OR, 97035-2216
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164832713
Provider Name
Jennifer Nickell
Credential
MS,RD,LD
Provider Entity Type
Individual
Gender
Female
Address
4948 Sw Meadow Ave, Lake Oswego, OR, 97035-2216
Phone Number
503-744-2061
Fax Number
Provider Enumeration Date
05/05/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
966403 01 COMMISSION ON DIETETIC REGISTRATION
institution
Provider Business Practice Location Address Details
Address
4948 Sw Meadow Ave
City
Lake Oswego
State
Oregon
Zip
97035-2216
Phone Number
503-744-2061
Fax Number
person
Provider Business Mailing Address Details
Address
4948 Sw Meadow Ave
City
Lake Oswego
State
Oregon
Zip
97035-2216
Phone Number
503-744-2061
Fax Number
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
-
Taxonomy
133V00000X
License No.
966403 ()
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
person
Provider's Taxonomy Details 2
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
Nutrition, Pediatric
Taxonomy
133VN1004X
License No.
LD-D-10159758 (Oregon)
Definition
An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.
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