Individual
MELISSA MALIA RADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MN, NNP-BC
Contact information
Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-1234
Mailing address
5355 SW MENLO DR, BEAVERTON, OR 97005-3832
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
201150086NP
OR
Other
Enumeration date
10/30/2012
Last updated
12/21/2020
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