Individual
MELISSA B. WARSTADT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-0990
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-0990
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
13312676-1205
UT
2085N0700X
Neuroradiology Physician
Primary
MD200075
OR
2085R0202X
Diagnostic Radiology Physician
13312676-1205
UT
2085R0202X
Diagnostic Radiology Physician
MD200075
OR
Other
Enumeration date
04/04/2018
Last updated
08/07/2025
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