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Individual

MELISSA PARKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1130 NW 22ND AVE STE 320, PORTLAND, OR 97210-2970
(503) 295-2546
(503) 295-2546
Mailing address
13911 SHIREVA DR, LAKE OSWEGO, OR 97034-2036
(503) 858-5488

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
OR
172V00000X
Community Health Worker

Other

Enumeration date
04/23/2025
Last updated
04/23/2025
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