Individual
MELINDA SUE NICHOLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
9115 SW OLESON RD STE 205, PORTLAND, OR 97223-6877
(503) 245-2420
(503) 245-2445
Mailing address
9115 SW OLESON RD STE 205, PORTLAND, OR 97223-6877
(503) 245-2420
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DP211498
OR
213ES0103X
Foot & Ankle Surgery Podiatrist
DP211498
OR
Other
Enumeration date
05/02/2019
Last updated
01/02/2025
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