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1386222495
MELISSA KAY BOUCHER
PORTLAND, OR
NPI
1386222495
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR DO221767)
Enumeration Date
2021-03-30
Last Update Date
2024-10-30
Business Address
MELISSA KAY BOUCHER DO
4920 N INTERSTATE AVE
PORTLAND, OR 97217-3653
Phone number: 503-215-3300
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Mailing Address
MELISSA KAY BOUCHER DO
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494
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