NICHOLAS RYAN MELLUM

PORTLAND, OR
NPI1053454173
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: OR  D8836)
Enumeration Date2007-02-15
Last Update Date2016-05-10
Business Address
DR. NICHOLAS RYAN MELLUM DMD
8910 N KELLOGG ST
PORTLAND, OR 97203-3002
Phone number: 503-286-4492
Mailing Address
DR. NICHOLAS RYAN MELLUM DMD
8910 N KELLOGG ST
PORTLAND, OR 97203-3002
Phone number: 503-286-4492
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