MELINDA ANN JACKSON

PORTLAND, OR
NPI1558330647
Professional NameMELINDA ANN LEE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?
Primary Taxonomy207RG0300X Internal Medicine Geriatric Medicine
(Licence: OR  MD12772)
Enumeration Date2006-03-14
Last Update Date2007-07-08
Business Address
MRS. MELINDA ANN JACKSON
13007 NE GLISAN ST
PORTLAND, OR 97230-2545
Phone number: 503-215-6556
Mailing Address
MRS. MELINDA ANN JACKSON
13007 NE GLISAN ST
PORTLAND, OR 97230-2545
Phone number: 503-215-6556