Individual
MELANEY MCCLINTOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
405 NE 80TH AVE, PORTLAND, OR 97213-7019
(971) 235-8064
Mailing address
405 NE 80TH AVE, PORTLAND, OR 97213-7019
(971) 235-8064
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200942971RN
OR
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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