Individual
DR. MELANIE SANDOVAL ORENCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2748 MILTON WAY STE 101, MILTON, WA 98354-9379
(253) 922-5262
Mailing address
2748 MILTON WAY STE 101, MILTON, WA 98354-9379
(253) 922-5262
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00047522
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0224036
L&I
WA
05
—
1044352
—
WA
05
—
8488876
—
WA
01
—
8867415
MEDICARE
WA
Enumeration date
05/09/2007
Last updated
12/11/2020
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