Organization
MK ORTHO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA KOUNINE DO (OWNER)
(817) 966-4689
Entity
Organization
Contact information
Practice address
6485 SW BORLAND RD STE A, TUALATIN, OR 97062-9762
(503) 692-5483
Mailing address
2351 NW WESTOVER RD UNIT 706, PORTLAND, OR 97210-3783
(817) 966-4689
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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