NICK R. MELLUM DMD PC

PORTLAND, OR
NPI1013281484
Entity TypeOrganization
Authorized ContactNICK MELLUM
Dentist
503-286-4492
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  D8836)
Enumeration Date2012-03-02
Last Update Date2012-03-02
Business Address
NICK R. MELLUM DMD PC
8910 N KELLOGG ST
PORTLAND, OR 97203-3002
Phone number: 503-286-4492
Mailing Address
NICK R. MELLUM DMD PC
8910 N KELLOGG ST
PORTLAND, OR 97203-3002
Phone number:
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