Individual
MELISSA PENDERGRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3915 RIVER RD, EUGENE, OR 97404-1230
(541) 746-6816
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
(702) 838-1456
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
845030
TX
363LF0000X
Family Nurse Practitioner
Primary
10041001
OR
363LF0000X
Family Nurse Practitioner
1017838
TX
Other
Enumeration date
06/02/2020
Last updated
10/21/2025
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