Individual
MELANIE BERTENELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
37400 BELL ST, SANDY, OR 97055-7868
(503) 668-3483
Mailing address
110 BEAVERCREEK RD STE 100, OREGON CITY, OR 97045-4307
(503) 655-8471
(503) 655-8595
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD189768
OR
390200000X
Student in an Organized Health Care Education/Training Program
PG178113
OR
Other
Enumeration date
05/23/2016
Last updated
02/22/2021
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