MEDICARE: ART OF METABOLISM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1447917661
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ART OF METABOLISM

Provider Business Mailing Address
First Line	:	2200 NW 9TH ST STE 120
Second Line	:
City	:	CORVALLIS
State	:	OR
Zip	:	97330-1793
Country	:	US
Telephone Number	:	541-714-5587
Fax Number	:	541-319-8968

Provider Business Practice Location Address
First Line	:	2200 NW 9TH ST STE 120
Second Line	:
City	:	CORVALLIS
State	:	OR
Zip	:	97330-1793
Country	:	US
Telephone Number	:	541-714-5587
Fax Number	:	541-319-8968

Authorized Official
Title or Position	:	REGISTERED DIETITIAN
Name	:	BONNIE CAVANAGH
Credential	:	RD
Telephone Number	:	541-714-5587

Provider Enumeration Date	:	11/22/2021
Last Update Date	:	02/04/2026

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Directions to “ART OF METABOLISM ” Practice Location

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