STACEY WAYNE MELNICK

PORTLAND, OR
NPI1235572744
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: OR  201350068NP)
Enumeration Date2013-04-15
Last Update Date2018-08-24
Business Address
STACEY WAYNE MELNICK NP
1675 SW MARLOW AVE STE 202
PORTLAND, OR 97225
Phone number: 503-430-1777
Mailing Address
STACEY WAYNE MELNICK NP
1675 SW MARLOW AVE STE 202
PORTLAND, OR 97225-5102
Phone number: 503-430-1777
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