Individual
DR. CARL M MELINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18610 NW CORNELL ROAD, SUITE 100, HILLSBORO, OR 97124-9923
(503) 216-9360
(503) 216-9363
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
M-3948
ID
207Q00000X
Family Medicine Physician
Primary
MD28596
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010004964
REGENCE BS ID
ID
05
—
003843600
—
ID
05
—
024599
—
OR
01
—
080062808
RAILRAOD
ID
05
—
8167140
—
WA
01
—
B1725
BLUE CROSS ID
ID
01
—
P00650735
RR MEDICARE
OR
Enumeration date
01/03/2007
Last updated
10/28/2012
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