Individual
MAYSEE DAWN SALLEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9205 SW BARNES RD FL 1, PORTLAND, OR 97225-6603
(503) 216-2906
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301098583
MI
207R00000X
Internal Medicine Physician
Primary
MD190888
OR
207R00000X
Internal Medicine Physician
MD60554447
WA
208000000X
Pediatrics Physician
4301098583
MI
208000000X
Pediatrics Physician
MD60554447
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500757218
—
OR
Enumeration date
07/19/2011
Last updated
07/22/2021
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