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Individual

MELANIE J BLOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LD

Contact information

Practice address
1584 NE 8TH ST STE 208, GRESHAM, OR 97030-5746
(503) 230-0207
(503) 230-0208
Mailing address
1584 NE 8TH ST STE 208, GRESHAM, OR 97030-5746
(503) 230-0207
(503) 230-0208

Taxonomy

Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DTDO317601
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
269892
OR
Enumeration date
12/27/2006
Last updated
07/08/2025
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