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Individual

MELODY ANNE KLUG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-CNP

Contact information

Practice address
1127 OAK ST SE, SALEM, OR 97301-4020
(503) 814-7445
(503) 814-7404
Mailing address
PO BOX 13129, SALEM, OR 97309-1129

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
81335
OK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
81335
OR

Other

Enumeration date
12/31/2014
Last updated
12/28/2018
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