Individual
CAITLIN CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDCES
Contact information
Practice address
19500 SE STARK ST, PORTLAND, OR 97233-5757
(410) 960-5120
Mailing address
1806 HALL CT, WEST LINN, OR 97068-4124
(410) 960-5120
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
10217394
OR
174400000X
Specialist
32308621
—
Other
Enumeration date
11/14/2022
Last updated
07/10/2025
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