| Melanie Janel Boney, RD | |
|
9135 Sw Barnes Rd Ste 761, Portland, OR 97225-6777 | |
| (503) 216-2602 | |
| Not Available |
| Full Name | Melanie Janel Boney |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 9135 Sw Barnes Rd Ste 761, Portland, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528609161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 1005339 (Oregon) | Secondary |
| 133V00000X | Dietitian, Registered | LD-D-10173515 (Oregon) | Primary |
| Provider Name | Providence Health & Services Oregon |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
| Mailing Address | Practice Location Address |
|---|---|
| Melanie Janel Boney, RD Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494 | Melanie Janel Boney, RD 9135 Sw Barnes Rd Ste 761, Portland, OR 97225-6777 Ph: (503) 216-2602 |
Kara Marie Odiaga, RD, CSR, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 703 Ne Hancock St, Portland, OR 97212 Phone: 503-493-3322 Fax: 503-287-9434 | |
Mrs. April D Mitsch, RD Dietitian Medicare: Medicare Enrolled Practice Location: 700 Sw Campus Dr, Portland, OR 97239 Phone: 503-494-8362 Fax: 503-494-4447 | |
Julie Marie Martin, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-5466 | |
Alavita Perinatal Nutrition Associates, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 106 Sw Woods St Ste A, Portland, OR 97201 Phone: 503-407-2549 | |
Jennifer Ching, Dietitian Medicare: Medicare Enrolled Practice Location: 9701 Sw Barnes Rd Ste 300, Portland, OR 97225 Phone: 503-297-8108 Fax: 503-292-6601 | |
Mary Ann Weinberg, RD, CNSD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7597 | |
Ms. Janet Lee Muckridge, RD LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3550 N Interstate Ave, Nutrition Department East Interstate, Portland, OR 97227 Phone: 503-286-6871 |