# MELVIN D WADE, MD, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114581808
- **Authorized official:** DR. MELVIN D WADE MD (OWNER)
- **Authorized official phone:** (503) 269-9435

## Contact information

- **Practice address:** 2525 12TH ST SE STE 110, SALEM, OR 97302-2153
- **Practice address phone:** (503) 364-3704
- **Mailing address:** PO BOX 3437, SALEM, OR 97302-0437
- **Mailing address phone:** (503) 269-9435
- **Mailing address fax:** (503) 385-8554

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/28/2019
- **Last updated:** 04/28/2019