Individual
MRS. MELANIE M KABOT-STUROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
300 CRATER LAKE AVE STE 201, MEDFORD, OR 97504-6604
(541) 826-0899
(541) 826-2234
Mailing address
6510 S 6TH ST STE 217, KLAMATH FALLS, OR 97603-7112
(541) 668-8600
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
200642237RN
OR
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
201150137NP
OR
Other
Enumeration date
05/02/2011
Last updated
03/09/2023
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