Individual
MELANIE JANEL BONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
9135 SW BARNES RD STE 761, PORTLAND, OR 97225-6777
(503) 216-2602
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1005339
OR
133V00000X
Registered Dietitian
Primary
LD-D-10173515
OR
Other
Enumeration date
10/04/2019
Last updated
04/26/2022
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