institution
Kenneth P Melvin, Md, Pc
Primary Care Clinic/Center in Lake Oswego, Oregon
NPI 1255501698

Kenneth P Melvin, Md, Pc is a Primary Care Clinic/Center based in Lake Oswego, OR and is specialized in Primary Care. Kenneth P Melvin, Md, Pc practices in Lake Oswego, OR. The NPI Number for Kenneth P Melvin, Md, Pc is 1255501698 and holds a License No. MD24232 (Oregon).

The current practice location address for Kenneth P Melvin, Md, Pc is 4035 Mercantile Dr, Lake Oswego, OR and can be reached out via phone at 503-203-1177 and via fax at 503-203-1178. You can also correspond with Kenneth P Melvin, Md, Pc through the mailing address at 4035 MERCANTILE DR, LAKE OSWEGO, OR - 97035-2546 (mailing address contact number: 503-203-1177).

Location: 4035 Mercantile Dr, Lake Oswego, OR, 97035-2546
institution
Provider Profile Details
NPI Number
1255501698
Provider Name
Kenneth P Melvin, Md, Pc
Credential
Provider Entity Type
Organization
Address
4035 Mercantile Dr, Lake Oswego, OR, 97035-2546
Phone Number
503-203-1177
Fax Number
503-203-1178
Provider Enumeration Date
02/29/2008
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
MD24232 01 OR OREGON LICENSE
institution
Provider Business Practice Location Address Details
Address
4035 Mercantile Dr
City
State
Zip
97035-2546
Phone Number
503-203-1177
Fax Number
503-203-1178
person
Provider Business Mailing Address Details
Address
4035 Mercantile Dr
City
State
Zip
97035-2546
Phone Number
503-203-1177
Fax Number
503-203-1178
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
MD24232 (Oregon)
Definition
Definition to come...
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