Individual
MELISSA JO HULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1815 SW EMIGRANT AVE, PENDLETON, OR 97801-1843
(541) 276-3653
(541) 966-4322
Mailing address
545 HEMLOCK ST, LAKE OSWEGO, OR 97034-6321
(503) 866-6857
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3235ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3235ATI
OD LICENSE
OR
Enumeration date
08/08/2007
Last updated
03/03/2023
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