Individual
MRS. MELISSA D PENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9735 SW SHADY LN, SUTIE 100, TIGARD, OR 97223-5481
(503) 639-2800
(503) 639-4044
Mailing address
9735 SW SHADY LN, SUITE 100, TIGARD, OR 97223-5481
(503) 639-2800
(503) 639-4044
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00703
OR
Other
Enumeration date
08/09/2006
Last updated
06/21/2021
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