Individual
MELINDA KOCSIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
727 W BURNSIDE ST, PORTLAND, OR 97209-3514
(971) 271-6103
(503) 228-7135
Mailing address
727 W BURNSIDE ST, PORTLAND, OR 97209-3514
(971) 271-6103
(503) 228-7135
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201130165LPN
OR
Other
Enumeration date
03/19/2015
Last updated
03/19/2015
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