Individual
MELISSA BLAGDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, RNFA
Contact information
Practice address
12180 SW MERESTONE COURT, TIGARD, OR 97223-9722
(971) 645-8288
Mailing address
12180 SW MERESTONE CT, TIGARD, OR 97223-3168
(971) 645-8288
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
201143298RN
OR
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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