Individual
MELINA WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2497 SE BURNSIDE RD, GRESHAM, OR 97080-1246
(503) 669-4200
Mailing address
1936 NW 143RD AVE APT 77, PORTLAND, OR 97229-4330
(503) 351-9696
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0014209
OR
Other
Enumeration date
09/11/2014
Last updated
09/11/2014
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