Individual
DYLAN A JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-S,RDN, CDCES, CES
Contact information
Practice address
9000 N LOMBARD ST, PORTLAND, OR 97203-3006
(503) 988-5558
Mailing address
9000 N LOMBARD ST, PORTLAND, OR 97203-3006
(503) 988-5558
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI60285507
WA
133V00000X
Registered Dietitian
LD-D-10170730
OR
363A00000X
Physician Assistant
1237677
OR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2106736
—
WA
05
—
500703814
—
OR
Enumeration date
01/08/2014
Last updated
03/03/2026
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