Individual
SILVIO WANDERLEY DE MELO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239
(503) 494-8577
(503) 494-7556
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8577
(503) 494-7556
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME104528
FL
207RG0100X
Gastroenterology Physician
29534
AL
207RG0100X
Gastroenterology Physician
Primary
MD185874
OR
207RG0100X
Gastroenterology Physician
ME121074
FL
207RG0100X
Gastroenterology Physician
N1396
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8DS775
BLUE CROSS BLUE SHIELD OF TEXAS
TX
Enumeration date
06/04/2007
Last updated
07/17/2018
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