Individual
MR. JEREMY DORANCE ONEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.SCI, RDN, LD
Contact information
Practice address
3737 SE 36TH PL, UNIT 22, PORTLAND, OR 97202-1858
(812) 350-9833
Mailing address
3737 SE 36TH PL, UNIT 22, PORTLAND, OR 97202-1858
(812) 350-9833
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
10172220
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10172220
OREGON LICENSE
OR
Enumeration date
09/17/2015
Last updated
07/26/2023
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