Individual
MRS. MELISSA JOHNSON RHYASEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
123 C AVE, LAKE OSWEGO, OR 97034-2353
(503) 905-9006
Mailing address
PO BOX 2430, THE DALLES, OR 97058-8022
(503) 905-9006
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA179385
OR
Other
Enumeration date
02/03/2012
Last updated
12/23/2024
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