Individual
LAURIE JEAN MELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19500 SE STARK ST, PORTLAND, OR 97233-5757
(503) 669-3995
Mailing address
PO BOX 1439, BORING, OR 97009-1439
(503) 669-3995
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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