Individual
DR. MELISSA MARIE BEADNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1616 SW SUNSET BLVD, SUITE A, PORTLAND, OR 97239-2641
(503) 244-4837
(503) 293-3480
Mailing address
1616 SW SUNSET BLVD, SUITE A, PORTLAND, OR 97239-2641
(503) 244-4837
(503) 293-3480
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9189
OR
Other
Enumeration date
11/04/2008
Last updated
01/14/2015
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