Individual
MELISSA PORTNOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
390 FOUNDERS WAY, FORKS, WA 98331-9062
(360) 374-6998
(360) 374-3162
Mailing address
530 BOGACHIEL WAY, FORKS, WA 98331-9120
(360) 374-6271
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN60565637
WA
363LF0000X
Family Nurse Practitioner
Primary
AP61499144
WA
Other
Enumeration date
09/27/2023
Last updated
11/02/2023
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