Individual
MELISSA SY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
15915 NE GLISAN ST, PORTLAND, OR 97230
(503) 206-7693
Mailing address
15915 NE GLISAN ST, PORTLAND, OR 97230
(503) 206-7693
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
15-2297
OR
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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