Individual
MELISSA LYNN VOLENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 SW MADISON ST # 14, PORTLAND, OR 97205-1716
(971) 610-3118
Mailing address
12645 SE DIVISION ST APT 14, PORTLAND, OR 97236-3197
(971) 610-3118
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
113414
OR
Other
Enumeration date
05/23/2025
Last updated
05/23/2025
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