Healthcare Provider Details

I. General information

NPI: 1225925365
Provider Name (Legal Business Name): EVERHOPE NUTRITION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2025
Last Update Date: 06/20/2025
Certification Date: 06/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4484 SW SHEM TER
BEAVERTON OR
97078-2193
US

IV. Provider business mailing address

4484 SW SHEM TER
BEAVERTON OR
97078-2193
US

V. Phone/Fax

Practice location:
  • Phone: 206-972-0433
  • Fax:
Mailing address:
  • Phone: 206-972-0433
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: YINGJIE CAO
Title or Position: MANAGING MEMBER / RD
Credential: RD
Phone: 206-972-0433