person
Melanie J Block, LD
Denturist in Portland, Oregon
NPI 1356406342

Melanie J Block is a Denturist based in Portland, OR. Melanie J Block practices in Portland, OR and has the professional credentials of LD. The NPI Number for Melanie J Block is 1356406342 and holds a License No. DTDO317601 (Oregon).

The current practice location address for Melanie J Block is 200 Ne 20Th Ave Ste 100, Portland, OR and can be reached out via phone at 503-230-0207 and via fax at 503-230-0208.

Location: 200 Ne 20Th Ave Ste 100, Portland, OR, 97232-3094
person
Provider Profile Details
NPI Number
1356406342
Provider Name
Melanie J Block
Credential
LD
Provider Entity Type
Individual
Gender
Female
Address
200 Ne 20Th Ave Ste 100, Portland, OR, 97232-3094
Phone Number
503-230-0207
Fax Number
503-230-0208
Provider Enumeration Date
12/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
269892 05 OR
institution
Provider Business Practice Location Address Details
Address
200 Ne 20Th Ave Ste 100
City
State
Zip
97232-3094
Phone Number
503-230-0207
Fax Number
503-230-0208
person
Provider Business Mailing Address Details
Address
200 Ne 20Th Ave Ste 100
City
State
Zip
97232-3094
Phone Number
503-230-0207
Fax Number
503-230-0208
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Denturist
Speciality
-
Taxonomy
License No.
DTDO317601 (Oregon)
Definition
Definition to come.
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