Individual
KIRA MELAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
13023 SE 84TH AVE, SUITE A, CLACKAMAS, OR 97015-9798
(503) 353-9992
Mailing address
13023 SE 84TH AVE, SUITE A, CLACKAMAS, OR 97015-9798
(503) 353-9992
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H5634
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H5634
RDH LICENSE NUMBER H5634
OR
Enumeration date
10/14/2010
Last updated
10/14/2010
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