MELISSA KATHRYN MACK

VANCOUVER, WA
NPI1124052006
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: WA  AP30007582)
Additional Taxonomies367A00000X Advanced Practice Midwife
(Licence: OR  200450125NPNMNPPP)
Enumeration Date2006-07-10
Last Update Date2008-02-26
Business Address
Ms. MELISSA KATHRYN MACK CNM
2525 NE 139TH ST
VANCOUVER, WA 98686-2719
Phone number: 360-397-3870
Mailing Address
Ms. MELISSA KATHRYN MACK CNM
700 NE 87TH AVE
VANCOUVER, WA 98664-1913
Phone number: 360-397-1500