Individual
KENDRA SIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDM, RDN, LD
Contact information
Practice address
5711 SW SEYMOUR ST, PORTLAND, OR 97221-1933
(720) 217-5320
Mailing address
5711 SW SEYMOUR ST, PORTLAND, OR 97221-1933
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-D-10202833
OR
Other
Enumeration date
02/16/2026
Last updated
02/16/2026
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