I am a Registered Dietitian Nutritionist who provides individualized nutrition counseling to cultivate a healthy relationship with food. My pronouns are she/her/hers. I utilize a Health at Every Size®/weight-inclusive approach, and often incorporate Intuitive Eating principles into my counseling when appropriate. I primarily work with disordered eating, eating disorders, nutrition concerns, “dieting burnout,” orthorexia, and making peace with food. I aim to help others establish healthy eating patterns by exploring balance and flexibility with a variety of foods.
I have experience treating folx of all ages with eating disorders at the PHP, IOP, and outpatient levels of care. Additionally, I have worked closely with individuals diagnosed with HIV/AIDS and other health concerns, such as diabetes, hypertension, hyperlipidemia, cancer, and renal disease.
I take a sensitive approach to challenges such as food insecurity, and aim to cultivate self-compassion for my clients. I enjoy exploring what health means to YOU and how I can support you in connecting with your inner wisdom. *I am licensed in Oregon and certified in Washington state. Virtual sessions available for OR & WA residents on a case-by-case basis.


Q How do I get on the schedule?

We offer a free 15-min “meet the nutritionist” appointment for new clients. Call Tessa at 971-270-0590 or email at tessa@rubyhealthandwellness.com. She can answer any questions you might have​ and set you up with an appointment there.

Q What can I expect on the first visit?

We’ll talk about what you want to work toward with your health and food goals. We’ll explore your health history, relationship with certain foods, what foods you like and don’t like and what nutrition goals will work best for you.. We’ll develop a wellness vision and get you started on that path.

Q What do I need to bring to my first appointment?

Please bring your photo ID and insurance card if you’d like to use insurance. Paperwork is electronic and can be filled out ahead of time. If you prefer paper copies, please arrive 30min early to complete paperwork.

Q How long do we meet?

Sessions are about 50 minutes.

Q What days/times can I schedule a session?

Tessa is in the office on Mondays 12-8pm, and Wednesdays/Thursdays 9am-5pm.

Q How often will we meet?

To get started, most clients do weekly appointments for about a month. Each person is different though and we can discuss what works best for you and set up a plan in your first session.

Q Do you bill insurance?

Yes. See the insurance page for more details.

Q How much does it cost if I'm paying out-of-pocket?

$120 per session

Q What if I'm embarrassed about how I eat?

We strive to provide a safe and non-judgmental environment for you to explore your food concerns. We won’t be labeling foods “good” or “bad”. In fact, my clients frequently report significantly reduced shame around food after working together.

Q Is there parking nearby?

Yes, there is plenty of free on-sight parking.

Q Are you LBGTQ friendly?

Absolutely, we enjoy working with people of all genders, any sexual orientation, religious or cultural background.

Q Will you collaborate with other medical providers?

Yes, we prefer to collaborate with your other providers to ensure you get the highest quality of care. Those struggling with eating disorders need a “team” which hopefully includes, a dietitian, therapist, and primary care provider. If you need help finding the support we can offer local referrals.

Q Will you talk to my family?

For clients under the age of 18 it will be important to have family involved with the first session and to touch base with them along the way. For clients 18 and over it’s up to you how it may be helpful to include a partner, family member or roommate.

Q What happens if I need to reschedule or cancel?

Please give at least 48 hours to reschedule or cancel. The late cancellation fee is $55. By scheduling an appointment, you are making a commitment not only to your health, but to your nutritionist as well. We appreciate your consideration in this regard. If there is inclement weather we will close the office if local schools are closed.

Q What do the initials RND, LD, CD mean?

RDN stands for Registered Dietitian Nutritionist. It is a national credential for nutrition specialists.

LD licensed dietitian in the state of Oregon

CD certified dietitian in the state of Washington

Q Will you help me to lose weight?

We focus on helping you heal your relationship with food from a Health at Every Size(tm) approach. This means we want to support you to navigate food in a new way. Rather than focusing on a weight goal, we will focus on healthy patterns with food and let the ​weight take care of itself.

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