Organization
THE NAKED DIETITIAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY DORANCE ONEAL M.SCI., L.D. (OWNER/FOUNDER)
(812) 350-9833
Entity
Organization
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
Enumeration date
10/25/2016
Last updated
10/25/2016
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