Individual
MELISSA WILLITZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7500
Mailing address
1834 NE SCHUYLER ST, PORTLAND, OR 97212-4553
(503) 793-3019
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
184240
OR
Other
Enumeration date
05/18/2016
Last updated
12/11/2025
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