Individual
MS. MELISSA KATHRYN MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2525 NE 139TH ST, VANCOUVER, WA 98686-2719
(360) 397-3870
(360) 397-3858
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 397-1500
(360) 397-3128
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
AP30007582
WA
367A00000X
Advanced Practice Midwife
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269690
—
OR
05
—
9651506
—
WA
Enumeration date
07/10/2006
Last updated
02/26/2008
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