Individual
VIOLETA TAMMY DE LA MELENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9555 SW BARNES RD, SUITE 150, PORTLAND, OR 97225-6663
(503) 297-7403
(503) 297-3096
Mailing address
9555 SW BARNES RD, SUITE 150, PORTLAND, OR 97225-6663
(503) 297-7403
(503) 297-3096
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD23822
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1041716
—
WA
05
—
181464
—
OR
Enumeration date
07/03/2006
Last updated
02/19/2013
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