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1558330647
MELINDA ANN JACKSON
PORTLAND, OR
NPI
1558330647
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Professional Name
MELINDA ANN LEE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Primary Taxonomy
207RG0300X Internal Medicine Geriatric Medicine
(Licence: OR MD12772)
Enumeration Date
2006-03-14
Last Update Date
2007-07-08
Business Address
MRS. MELINDA ANN JACKSON
13007 NE GLISAN ST
PORTLAND, OR 97230-2545
Phone number: 503-215-6556
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Mailing Address
MRS. MELINDA ANN JACKSON
13007 NE GLISAN ST
PORTLAND, OR 97230-2545
Phone number: 503-215-6556
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