Individual
DR. MELISSA PENDERGRASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
19875 SW 65TH AVE STE 250, TUALATIN, OR 97062-8353
(503) 612-5260
Mailing address
19875 SW 65TH AVE STE 250, TUALATIN, OR 97062-8353
(503) 612-5260
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
125-053708
IL
282NW0100X
Women's Hospital
—
IL
Other
Enumeration date
08/19/2007
Last updated
09/06/2023
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