Organization Active NPI

Meliora Clinic

  • Multi-Specialty Clinic/Center
  • Portland, OR
National Provider Identifier
1023695830
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
MELIORA CLINIC
Doing business as
Meliora Clinic
Practice address
2540 NE MLK Jr Blvd
Suite a
Portland, OR 97212
Phone
(971) 220-2759
Fax
(503) 954-2250
NPI assigned
Mar 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Aimee Olinde Bonneval, ND, LACNPI 1851795173
Title
Owner
Phone
(971) 220-2759

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

2540 NE MLK Jr Blvd
Suite a
Portland, OR 97212

Mailing address

2540 NE MLK Jr Blvd
Suite a
Portland, OR 97212
Phone (971) 220-2759

Other identifiers 1

IdentifierTypeStateIssuer
500798461MedicaidOR

Other names 2

  • Meliora Clinic Doing business as
  • Dr. AOB Clinic LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

2540 NE Mlk Jr Blvd
Ste A
Portland, OR 97212
Phone (971) 220-2759

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753833600000",
    "number": "1023695830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 NE MLK JR BLVD",
            "address_2": "SUITE A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97212",
            "telephone_number": "971-220-2759",
            "fax_number": "503-954-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 NE MLK JR BLVD",
            "address_2": "SUITE A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97212",
            "telephone_number": "971-220-2759",
            "fax_number": "503-954-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELIORA CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-26",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A",
        "authorized_official_last_name": "BONNEVAL",
        "authorized_official_first_name": "AIMEE",
        "authorized_official_middle_name": "OLINDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-220-2759",
        "authorized_official_credential": "ND, LAC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500798461",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meliora Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dr. AOB Clinic LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.