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1508876483
MELISSA D PENG
TIGARD, OR
NPI
1508876483
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Former Name
MELISSA D CROSS-PENG
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR pa00703)
Enumeration Date
2006-08-09
Last Update Date
2021-06-21
Business Address
Mrs. MELISSA D PENG PA
9735 SW SHADY LN SUTIE 100
TIGARD, OR 97223-5481
Phone number: 503-639-2800
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Mailing Address
Mrs. MELISSA D PENG PA
9735 SW SHADY LN SUITE 100
TIGARD, OR 97223-5481
Phone number: 503-639-2800
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