Organization
HOMEGROWN PEDIATRIC NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA NASH MPH, RDN (DIETITIAN)
(971) 260-2060
Entity
Organization
Contact information
Practice address
5441 S MACADAM AVE STE N, PORTLAND, OR 97239-3822
(971) 260-2060
Mailing address
5441 S MACADAM AVE STE N, PORTLAND, OR 97239-3822
(971) 260-2060
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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