person
Melanie Grace Mix, PAC
Surgical Physician Assistant in Portland, Oregon
NPI 1922588508

Melanie Grace Mix is a Surgical Physician Assistant based in Portland, OR and is specialized in Surgical. Melanie Grace Mix practices in Portland, OR and has the professional credentials of PAC. The NPI Number for Melanie Grace Mix is 1922588508 and holds a License No. PA186897 (Oregon).

The current practice location address for Melanie Grace Mix is 501 N Graham St Ste 420, Portland, OR and can be reached out via phone at 503-288-7303 and via fax at 503-288-7306.

Location: 501 N Graham St Ste 420, Portland, OR, 97232-2895
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Provider Profile Details
NPI Number
1922588508
Provider Name
Melanie Grace Mix
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
501 N Graham St Ste 420, Portland, OR, 97232-2895
Phone Number
503-288-7303
Fax Number
503-288-7306
Provider Enumeration Date
08/14/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2106620 05 WA
500751360 05 OR
institution
Provider Business Practice Location Address Details
Address
501 N Graham St Ste 420
City
State
Zip
97227
Phone Number
503-288-7303
Fax Number
503-288-7306
person
Provider Business Mailing Address Details
Address
501 N Graham St Ste 420
City
State
Zip
97227
Phone Number
503-288-7303
Fax Number
503-288-7306
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA186897 (Oregon)
Definition
Definition to come...
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