# MELONIE MOONRISE PARRISH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1992942585
- **Gender:** F
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AM0700X | Medical Physician Assistant | LL18217 | OR | Yes |

## Other

- **Enumeration date:** 01/19/2009
- **Last updated:** 03/23/2017