Individual
AMY ELIZABETH MELCHIOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
15 82ND DR STE 230, GLADSTONE, OR 97027-2558
(503) 421-9271
Mailing address
15 82ND DR STE 230, GLADSTONE, OR 97027-2558
(503) 421-9271
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201507026NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500693098
—
OR
Enumeration date
09/18/2015
Last updated
08/31/2022
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