Individual
MS. MELISSA ANN SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7421 SW BRIDGEPORT RD STE 220, TIGARD, OR 97224-7707
(503) 684-8252
Mailing address
1211 NE 64TH LN UNIT 704, HILLSBORO, OR 97124-6887
(912) 675-5469
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/27/2010
Last updated
12/31/2012
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