Individual
ANNA BOHNENGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
106 SW WOODS ST, PORTLAND, OR 97201
(503) 407-2549
Mailing address
4611 N KERBY AVE, PORTLAND, OR 97217-3043
(503) 407-2549
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
10159622
OR
Other
Enumeration date
07/09/2014
Last updated
05/30/2018
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