Individual
MELODY W GU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MSPAS
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-3273
(503) 418-2208
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-3273
(503) 418-2208
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA207440
OR
363AM0700X
Medical Physician Assistant
Primary
PA207440
OR
Other
Enumeration date
11/11/2021
Last updated
01/18/2022
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