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Individual

LAUREN MICHELLE MELNIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGACNP

Contact information

Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 215-1234
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
201341558RN
OR
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
202211862NP-PP
OR
363LG0600X
Gerontology Nurse Practitioner
202211862NP-PP
OR

Other

Enumeration date
07/26/2022
Last updated
04/24/2023
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