Individual
MRS. TRICIA LEA EISENBRAUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1111 NE 99TH AVE STE 301, PORTLAND, OR 97220-9442
(503) 963-2707
(503) 963-2802
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DI00002009
WA
133V00000X
Registered Dietitian
Primary
LD-D-10174920
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2189112
—
WA
05
—
500795097
—
OR
Enumeration date
08/24/2007
Last updated
12/04/2025
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