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Individual

MELINDA CUSHING RITER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, PHD

Contact information

Practice address
3303 SW BOND AVE # 16D, OHSU, PORTLAND, OR 97239-4501
(503) 418-3376
Mailing address
3303 SW BOND AVE # 16D, PORTLAND, OR 97239-4501
(503) 494-3376

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD151435
OR
390200000X
Student in an Organized Health Care Education/Training Program
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1699090092
OR
Enumeration date
03/29/2010
Last updated
03/13/2015
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