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Active NPI 1104534643 Individual Practitioner Female Practitioner

Caitlin Carr , RD, CDCES

Dietitian, Registered • Portland, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Caitlin Carr, RD, CDCES is a certified Dietitian, Registered practicing in Portland, OR. With approximately 5 years of clinical experience since completing medical education in 2021, Caitlin Carr delivers high-quality medical care to the local community at 19500 SE STARK ST.

Caitlin Carr is affiliated with Kaiser Foundation Health Plan Of The Northwest and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

19500 Se Stark St

Portland, OR 972335757

Telephone 4109605120
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Portland, OR

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -8.3 yrs vs City Avg
City Avg: 13.3 Yrs
State Avg: 15.5 Yrs
Regional Practice Density
362 Specialists

Practicing in Portland, OR (941 Statewide)

Telehealth Adoption Rate
3.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Carr (5 Years) 5 Yrs
Portland Specialty Average (13.3 Years) 13.3 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-07-10
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License OR 10217394

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Specialist

NUCC Taxonomy Code: 174400000X

State License None 32308621

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Hospital & Practice Group Affiliations

Kaiser Foundation Health Plan Of The Northwest

3550 N Interstate Ave, Portland, OR 972271196

Phone: 8008132000

Kaiser Foundation Health Plan Of The Northwest

14406 Ne 20th Ave, Vancouver, WA 986861448

Phone: 8008132000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Megan Martin , MA

Counselor - Addiction (Substance Use Disorder)

NPI 1003579194

Master of Arts

Gayle Norie , GAYLE NORIE

Nurse Practitioner - Family

NPI 1003923384

GAYLENORIE

Anna Hinz

Student in an Organized Health Care Education/Training Program

NPI 1033040613
Kevin Tomlin , LPC

Counselor - Addiction (Substance Use Disorder)

NPI 1043640873

Licensed Professional Counselor

Dr. Christina Casnar , PhD

Psychologist - Clinical

NPI 1063017895

Doctor of Philosophy (Ph.D.)

Sarah Krakauer , CNM

Advanced Practice Midwife

NPI 1073526521

Certified Nurse Midwife

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location July 10, 2025

Registered at 19500 SE STARK ST, PORTLAND, OR 972335757 (Tel: 4109605120)

👤
Provider Name / Credentials Updated July 10, 2025

Recorded as CAITLIN CARR, RD, CDCES

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2025

Specialist (License #32308621 in None)

NPI Profile Active November 14, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location November 14, 2022

Registered at 700 NE 87TH AVE, VANCOUVER, WA 986644896 (Tel: 3608822778)

📍
Updated Business Mailing Address November 14, 2022

Registered at 1806 HALL CT, WEST LINN, OR 970684124 (Tel: 4109605120)

👤
Provider Name / Credentials Updated November 14, 2022

Recorded as CAITLIN CARR, RD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2022

Dietitian, Registered (License #10217394 in OR)

🟢
Initial NPI Registration & Enumeration November 14, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104534643
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 14, 2022
Last Update: July 10, 2025
Sole Proprietor: Yes

Mailing Address

1806 Hall Ct

West Linn, OR 970684124

Phone: 4109605120

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.