Provider Demographics
NPI:1649166232
Name:NUTRITION STUDIO LLC
Entity type:Organization
Organization Name:NUTRITION STUDIO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAITLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SLOANE
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:206-484-5303
Mailing Address - Street 1:2143 NE BROADWAY ST UNIT 4
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97232-1512
Mailing Address - Country:US
Mailing Address - Phone:503-495-3560
Mailing Address - Fax:
Practice Address - Street 1:2143 NE BROADWAY ST UNIT 4
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97232-1512
Practice Address - Country:US
Practice Address - Phone:503-495-3560
Practice Address - Fax:888-521-0192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty