Individual
MELISSA JEAN KIDBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12999 S MACDONALDS PL, OREGON CITY, OR 97045-7529
(541) 295-5172
(971) 362-4818
Mailing address
PO BOX 159, WARRENTON, OR 97146-0159
(971) 368-1980
(541) 550-2908
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
163W00000X
Registered Nurse
201404684RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201800978NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124427950
—
OR
Enumeration date
08/18/2014
Last updated
04/10/2026
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