Individual
MRS. KELLY MEREDITH ORNBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1256 NW CANAL BLVD, REDMOND, OR 97756
(541) 526-6691
Mailing address
20940 GIFT RD, BEND, OR 97701-8983
(541) 601-4371
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1012489
OR
Other
Enumeration date
06/22/2011
Last updated
01/08/2014
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